ISUOG consensus statement: what constitutes a fetal echocardiogram?
OUR VISION - Philippine Heart Center Citizens Charter 2014... · *Treadmill Stress Echocardiogram...
Transcript of OUR VISION - Philippine Heart Center Citizens Charter 2014... · *Treadmill Stress Echocardiogram...
OUR VISION
The Philippine Heart Center isthe leader in upholding the higheststandards of cardiovascular care,
a self-reliant institutionresponsive to the health needs
of the Filipino people.
OUR MISSION
Driven by our shared desireto improve the health status
of the Filipino people,We, the Philippine Heart Center,
shall provide comprehensive cardiovascular care enhanced
by education and researchthat is accessible to all.
OUR OBJECTIVES
To provide compassionate andexpert patient care.
To provide world-class educationand training.
To conduct internationally-acclaimed research.
To responsibly disseminatescientific and lay information
to the public.
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TABLE OF CONTENTS Page No.
Performance Pledge …........................................................................... 6
PART I. PATIENT CARE SERVICES
Out-PatientScreening of Patient …....................................................... 7 Social Service Assistance …............................................... 9
Emergency Room ServicesAmbulance Conduction ……………………………………... 11 Ambulance Transfer …………………………………………. 14ER Consultation …………………………………………….… 15
Heart Package ………………………………………………………. 18In-Patient
Admission of Patients …………………………………….…. 19Acceptance of Patients at the Hospital Room/Ward …....... 20 Discharge of Patients ………………………………………… 21Payment of Hospital Bill/Professional Fee ………………... 23Issuance of Death Certificate ………………………………. 24
Release of Dead Body …………..…………………….... 25Diagnostic Package ……………………………………………....… 26Blood Bank Services ……………………………………………….… 28
Blood Bank Tests -HIV Testing-Anti-HbSAg-Blood Typing and Cross Matching
Cardiac Rehabilitation Services …………………………………….. 30Invasive Cardiology Management Procedure ………….......…....… 31
-Coronary Angiogram-Percutaneous Transluminal Coronary Angioplasty (PTCA)-PDA Occluder/Amplatzer-4-Vessel Angiogram
Hemodialysis Procedures …………………………………………… 33Laboratory Medicine Services
-Histopath and Cytopathology Procedures ….....…. 34-Laboratory Procedures ……………………………... 36
Neuro-Vascular Diagnostic Examination ………………………...... 38-Electroencephalogram (EEG)-Transcranial Doppler Examination (TCD)
Non-Invasive Diagnostic Procedures ………………………...……. 40-Electrocardiogram
*Treadmill Exercise Testing *24 and 48-hour Holter Monitoring
-Echocardiography
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*2-D/3D Echocardiogram with Doppler*Treadmill Stress Echocardiogram*Dobutamine Stress Echocardiogram*Transesophageal Echocardiography
Nuclear Medicine Services ………………………………………… 43- Radioimmunoassay (FT3, FT4, TSH, Digoxin) and
Imaging Procedures Peripheral Vascular Services
- Vascular Check-up ………………………………... 45- Vascular Procedures ……………………………… 46- Wound Care ……………………………………….. 48
Physical Medicine and Rehabilitation Services ………………..... 50- Electromyography-Nerve Conduction Velocity(EMG-NCV)- Splint Fabrication- Physical and Occupational Therapy, Wellness Program
Pulmonary Services ……………………………………………….... 53- Bronchoscopy Procedure. - Polysomnograph Procedures (Sleep Procedures)- Pulmonary Function Test (PFT) and Arterial Blood Gas Studies (ABG)- Pulmonary Rehabilitation Program
Radiological Services ……………………………………………..... 60- Ultrasound- CT-MRI- General Diagnostic X-Ray- Interventional Radiology
Surgical Package Deals ……………………………………………. 62- Cardiac Cath./Surgical Package Deal
PART II. OTHER SERVICES
Allied Services-PHC Art Gallery ……………………………………………… 63-Telephone Calls ……………………………………............. 65-Use of Function Rooms …………………………………….. 67
Blood Bank Services-Blood Donation ……………………………………………… 69-Blood Procurement ………………………………..… …..... 68
Dietary Services- Dietary Instruction …………………………………………. 70- Purchase of Nutritionals (Dietary Supplements) …......….. 71
Financial Services- Approval Letter of Authority/Guarantee ……………........ 72- Approval of 20% Discount on Medicines ……...........….. 73- Releasing of Checks for Suppliers ………...........………. 74
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Human Resources-Filling of Application for Employment ………………........ 75-Screening Test for Applicants and Other Agencies........... 76-Background Investigation …………………………........... 77
Out-Patient Pharmacy Dispensing Services ….. ………………… 78Purchasing and Procurement Services
-Qualifying of Suppliers ………………………………......... 79-Bids and Awards Procedures and Activities ….. ………….. 81-Issuance of Gate Pass for Supplies …………………...….. 83-Receipt of Hospital/Office Equipment,
Furniture and Books ………………………………........... 84-Receiving Deliveries of Supplies ……..........…..........……. 85
-Purchase of Linen Items ………………………………..….. 86Release of Patient's Medical Records …………....……………….. 87
Trainings and ProgramsTrainings: -Application for Residency, Fellowship
and Sub-Specialty Fellowship …….. 95-Processing of Student Internship and
Trainees (HRD) ……………………….. 97-Issuance of Training and Program
Certificates -Nursing Trainings ……………………………. 98
Programs: -People's Day ……………………………….… 99-Hospital Guided Tour ……………………….. 101-Student’s Hospital Affiliation …………….…. 102-Intravenous Therapy Update …………….. .. 104-Intravenous Therapy Training Program …... 105-Consultation of Patients under Community
Health Development …………………. 106-HEARTS Volunteer Program (HRD) ………. 109
CLIENT FEEDBACK MECHANISM ……………………………………………. 111ACKNOWLEDGEMENTS ….......................................................................... 116RATES OF HOSPITAL ROOMS …………………………………………… ANNEX AND PROCEDURES
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PERFORMANCE PLEDGE
Philippine Heart Center is committed to:
P erform service with utmost knowledge and skills keeping in mind the welfare of the general public.
E xcel in patient focused care, public information, education and training, and research
O versee the continuous operations of the institution to fully serve the people in a friendly environment.
P rovide client awareness through the 24/7 accessibility of information, education and communication through our website (www.phc.gov.ph), and reach us through Tel. No. (02) 925-2401 up to 50
L ead in the provision of the highest standard of cardiovascular care in the country
E nsure the best service rendered at the shortest given time with integrity, compassion and respect
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Out-Patient
SCREENING OF PATIENT
Frontline Service : Screening of PatientClients : Out-PatientRequirements : Appointment or Referral Letter (if applicable) List of current medication Pertinent laboratory results Subject Observation Assessment Plan (SOAP)
document from ER Approved Financial Assistance Fund (if applicable)Schedule of Availability of Service: 8 am to 5 pm, Mondays to Fridays
except holidaysContact Numbers : (+632) 9252401 local 5101 Total Maximum duration of Process: 37 minutes.
How to Avail of the Service: No. Client Step Activity Person
ResponsibleLocation of
OfficeDuration of
Activity
1 Get number from the queuing machine
Central waiting area, Ground Floor, Annex
Building.
2
Fill out Screening form. Present Service Issue Slip (SIS), if applicable
Assist patient/companion in filling out screening form
Interview & records vital signs
Screening Nurse
Room 1 OPD Ground Floor
Annex Building.
5 minutes
3 Secure queue number for cashier and wait for number to be displayedPay applicable fees
Receive payment & issues official
Cashier
Central waiting area, Ground Floor, Annex
Building.OPD Cashier’s Office, Ground Floor, Annex
Building 5 minutes
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receipts
4 Present official receipt to the nursing staff.
Record official receipt number
Register patient
Nursingattendant
Room 1 OPD Ground Floor
Annex Building
2 minutes
5 Cooperate in consultation
Assess the patient
Prescribe medications and/or laboratory examinations
ScreeningDoctor
Room 1 OPD Ground Floor
Annex Building
15 minutes
6 Submit the SOAP to the Nurse Listen to the instructions
Give instructions on medications, laboratory tests and follow up
Screening Nurse
Nursing Attendant
Room 1 OPD Ground Floor
Annex Building
10 minutes
End of Transaction
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Out-Patient
SOCIAL SERVICE ASSISTANCE
Frontline Service : Social Services AssistanceClients : Out-Patient/RelativesRequirements : Social Service Requirements
LIST OF REQUIREMENTS1. New residence certificate of the patient, spouse, parents (if patient is a
minor), and of other family members.2. Social case study report from the municipal / city Social Welfare Officer.3. Assessor's certification if with or without property in the name of the couple
(if married) or parents (if minor patient) from the municipal, city assessor. 4. Business Certification from the Business & Licensing Office or Office of the
Mayor in the name of the couple (if married) or parents (if minor)5. Certification from the Social Security System of the couple (if married), of
parents (if minor) and other non-working family members.6. Driver's license if the patient and supporting relative are drivers.7. 2 ID pictures.
Additional Requirements, If Family Members Are Working/Pensioners:
8. Certificate of employment of the couple (if married), parents (if minor) and other family members. Indicate position, monthly income, other benefits & deductions. Include latest 1 month pay slips
9. If resigned, secure certificate of employment stating disconnection from work.
10. If patient/ family member is pensioner, copy of latest SSS / GSIS / veteran's pension voucher.
11.Philhealth papers of patient/spouse (if married) or parents (if minor) if patient is admitted at Philippine Heart Center.
Fees : Applicable feesSchedule of Availability of Service: Monday to Saturday, 8:00 am to 5:00pm
(except holidays)Contact Number : (+632) 925-2401 locals 5111-5116Duration of Activity: Out-patient: 1 hour and 32 minutes
Emergency Room: 1hour and 42 minutes
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Out-Patient
HOW TO AVAIL:
A. OUT PATIENT No. Client Steps Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Get number from the
queuing machine MAB Annex
ground floor2 Fill-out Data Sheet
from the Screening Section
Screening Clerk
Out-Patient Screening
Section, Ground Flr., MAB Annex
5 minutes
3 Submit filled-out data sheet. Walk-in patients from OPD Screening Section maybe accommodated within the day and need not be scheduled for another day to maximize patients' efforts and time
Review Patient's Data Sheet and give the schedule of interview and list of requirements
Social Service Clerk
Social Service Division,
Ground Flr., MAB Annex
5 minutes
4 Report for interview, submit requirements and get the yellow card (if w/o OPD check up yet)
Conduct interview, receive the requirements & issue yellow card
Medical Social Worker (MSW)
Social Services Division, ground
floor MAB annex
30 minutes
5 Present yellow card, get the Data Sheet / S.O.A.P.
Release the Patient's Data Sheet/ S.O.A.P.
Medical Social Worker
Social Services Division, ground
floor MAB annex
5 minutes
6 Get permanent OPD card and pay applicable fees
Issue OPD card Nurse Aide Screening Section ground
floor, MAB Annex
7 If for cath, coro angio, close / open heart surgery and other procedures: Get financial assistance form
Issue financial assistance form
OPD pedia / adult clinics
OPD Annex building Ground
floor1 minute
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8 Arrange donation Process house case & issue admission slips
Medical Social Worker
Social Service Office, ground
floor MAB Annex
30 minutes
9 If for house case admission: Get admission slip
Issue admission slip
Medical Social Worker
Social Service Office, ground
floor MAB Annex
10 minutes
10 Get Admission Order Issue admission order
OPD doctor OPD Clinic, ground floor MAB Annex
5 minutes
11 Present admission slips & admitting order
Receive admission slips & admitting order
Admitting Clerk Admitting Office, ground floor hospital
building
1 minute
12 Process Admission
Admitting Clerk Admitting Section, grnd flr, hospital building
End of Transaction
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Out-PatientB. EMERGENCY ROOM PATIENT
No. Client Steps Agency Activity
Person Responsible
Location of Office Duration of Activity
1 Get & fill-out Patient's Data Sheet for interview
Issue patient's data sheet form
Conduct interview & issue yellow card
E.R. Nurse
Medical Social Worker
E.R. Ground floor, hospital building
Social Service Office, basement, hospital
building
30 minutes
2 If for diagnostic procedure: Get charge slips
Issue charge slips
Charge Nurse Emergency room, ground floor, hospital
building
2 minutes
3 Present charge slips for discount
Stamp discount/ classification
Medical Social Worker
Social Service Office, basement, hospital
building
2 minutes
4 If for discharge: Get the Notice of Discharge
Issue the Notice of Discharge
E.R. nurse E.R. Ground floor, hospital building
5 minutes
5 Get billing statement
Issue billing statement
Billing clerk Billing Section, basement MAB
5 minutes
6 Get a number from the queuing machine
Near Cashier, Basement, MAB
7 Pay applicable fees
Receive payment and issues official receipt
Cashier Cashier's office, Basement, MAB
5 minutes
8 Present official receipts
Record official receipts
Medical Social Worker
Social Service Office, basement hospital
building
2 minutes
9 If for emergency admission: Get and fill out Patient's Data Sheet
Receive Patient's Data Sheet & process admission
Admitting Clerk Admitting Section, ground floor, hospital
bldg.
5 minutes
10 Get the financial
Issue financial assistance form
Ward Nurse Assigned ward 2 minutes
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assistance form
11 Report for interview & issue permanent card
Conduct Interview, process assistance, and issue permanent card
Medical Social Worker
Social Service Office, ground floor, MAB
Annex
45 minutes
12 If for discharge:
Get notice of discharge
Issue notice of discharge
Nurse on duty Ward/Room 1 minute
13 Present notice of discharge & secure recommendation
Prepare recommendation for cashier & billing
Process discharge
Medical Social Worker
Social Service Office, ground floor MAB
annex
5 minutes
End of Transaction
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Emergency Room Services
Frontline Service : Ambulance Conduction - for Admission to PHC (Residential Service within Metro Manila only)
Clients : PatientsAvailability of Service: 24 hours / 7days a week
(except during DOH mandated Code White)Contact Number : (+632) 9252401 loc. 2142 - 2146 Fees : Applicable FeesMaximum Duration of Process: variable
How to Avail of Service:No. Client Steps Agency
ActivityPerson
Responsible
Location of Office
Duration of Activity
1 Call the Emergency Room and provide all information
Gather all relevant data using the Code Red Form
ER Charge Nurse
Emergency Room, Ground Floor, Hospital
Building
3mins.
2 Wait for ambulance service
Assemble and dispatch the ambulance team that includes the Doctor, Nurse, Orderly, Driver
ER Charge Nurse
Emergency Room, Ground Floor, Hospital
Building
Depends on the location
End of Transaction
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Emergency Room Services
Frontline Service : Ambulance Transfer (Within Metro Manila Only)Clients : Patients/RelativesAvailability of Service: 24 hours/ 7 days a weekContact Numbers : (+632) 9252401 loc. 2142 - 2146 Fees : Applicable Fees Maximum Duration of Process: ER Patients : 17 minutes
Admitted Patients: 30 minutesHow to Avail the Service:
No. Client Steps Agency Activity
Person Responsible
Location of Office
Duration of Activity
1 For ER Patients: Inform ER Charge Nurse of transfer/conduction
For Admitted Patients:Inform the Bedside Nurse of details of transfer/ conduction
Process availability of ambulance
Send charge slip to ER
ER Charge Nurse
Unit Charge Nurse
Emergency Room,
Ground Floor, Hospital Building
Unit concerned
2 minutes
15 minutes
2 For ER Patients:Provide information of details of transfer and wait for transfer
For Admitted Patients:(If for dis-charge)Inform Charge Nurse if ready to leave
(If for procedure conduction:)Cooperate in the preparation for conduction
Process documents for ambulance conduction
Process transfer/ discharge of patient
ER Charge Nurse
Unit Charge Nurse/
Bedside Nurse/ER
Ambulance Nurse
Emergency Room,
Ground Floor, Hospital Building
Patient’s Room
15 minutes
15 minutes
End of Transaction
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Emergency Room Services
Frontline Service : ER ConsultationClients : PatientsAvailability of Service: 24 hours/ 7 days a weekContact Numbers : (+632) 9252401 loc. 2142 - 2146 Fees : Applicable feesMaximum Duration of Process: variable
How to Avail the Service:No. Client Steps Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Inform the Triage
Nurse Take vital signs and perform quick assessment of client
Triage Nurse Triage Area, Emergency
Room, Ground Floor,
Hospital Bldg.
5 min.
2 Fill-out the patient information on ER SOAP form
Assist patient or relative in filling-out forms
Triage clerk Emergency Room, Ground Floor,
Hospital Bldg.
5 min.
3 Cooperate in history taking and physical exam.
Interview patient and relatives
Assess patient
Triage Nurse
Triage Fellow
Emergency Room, Ground Floor,
Hospital Bldg.
10 min.
4 Cooperate in interventions needed
Make orders for treatment
Carry out treatment ordered
ER Fellow
ER Bedside Nurse
Emergency Room, Ground Floor,
Hospital Bldg.
Depends on the
patient’s condition
and intervention
If for admission, follow admission process
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If for discharge:Get the Notice of Discharge, Billing Statement and pay applicable fees
Process Discharge
ER Nurse/ Billing Clerk/
Cashier
Emergency Room, Ground Floor,
Hospital Bldg. /Billing
Section/Cashier,
Basement, MAB
20 min.
5 Present Official Receipt to ER
Log OR number, give instructions and discharge patient
ER Charge Nurse
Emergency Room, Ground Floor,
Hospital Building
8 min.
End of Transaction
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OPD Package
Frontline Service : Out-Patient Heart Packages Clients : PatientsRequirements : Doctor’s requestSchedule of Availability of Service: 8 am – 5 pm, Mondays thru Fridays
except holidays Contact number : (+632) 9252401 local 5101 Fees : Applicable FeesTotal Maximum duration of Process: 40 minutesRelease of Official Result: one day after last procedure
How to Avail of the Service:No. Client Steps Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity
1 Present request to the reception area
Wellness Clinic Clerk
Wellness Clinic, 5th Flr, Medical Arts
Building2 Present
requirements Process request and issue charge slip
Instruct patient to pay applicable fees
Wellness Clinic Clerk
Ground floor, Annex building
15minutes
3 Pay applicable fees
Receive payment & issue official receipt
Cashier OPD Cashier’s Office, Ground Floor, Annex
Building
5 minutes
5 Proceed to Ground Flr., Non-Invasive Cardiology
Perform applicable procedure.
Heart Package Technician/ECG
clerk
Ground floor, Medical Arts
Building
15 minutes
6 Present official receipt and claim result
Release official results
Heart Package coordinator/ECG technician/ECG
clerk
Ground floor, Medical Arts
Building
5 minutes
End of Transaction
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In-Patient
Frontline Service : Admission of PatientsClients : PatientsRequirements : Doctor's Admitting OrdersSchedule of Availability of Service: 24 hours/7 daysContact Numbers : (+632) 925-24-01 locals 2103 up to 2105Fees : Applicable FeesTotal/Maximum Duration of Process: 26 minutes
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Present doctor's
admitting orderAssign room and issue admitting forms
Admitting Clerk Admitting Section, Ground
Flr., Hospital Bldg.
5 minutes
2 Fill-out admitting forms
Assist the patient/relative in filling-out admitting forms
Admitting Clerk Admitting Section, Ground
Flr., Hospital Bldg.
10 minutes
3 Pay applicable fees
Receive payment and issues official receipts
Cashier Cashier's Office, Basement, MAB
5 minutes
4 Present copy of official receipt
Record Official Receipt number in the Patients Data Sheet (PDS)
Admitting Clerk Admitting Section, Ground
Flr., Hospital Bldg.
1 minute
5 Cooperate with admitting personnel for escort to their respective room
Escort patient to their respective room
Admitting clerk Admitting Section, Ground
Flr., Hospital Bldg.
5 minutes
End of Transaction
*Cashier's Office open from Monday-Saturday, 7:30 am to 8:00 pm, Basement, Medical Arts Building 8:00 pm to 7:30 am, Admitting Section, Ground Flr., Hospital Bldg.
Satellite Cashier open from Monday – Friday7:30 am to 8:30 pm, Hospital Lobby
Sunday's and Holidays, 9:00 am to 6:00 pm, Basement, Medical Arts Building6:00 pm to 9:00 am, Admitting Section, Ground Flr., Hospital Bldg.
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In-Patient
Frontline Service : Acceptance of Patients to Hospital Room/WardClients : PatientsRequirements : Doctor’s admitting OrdersAvailability of Service: 24 hours/ 7 days a week Contact Numbers : (+632) 9252401Fees : Applicable feesMaximum Duration of Process:
How to Avail of Service: No. Client
StepsAgency Activity
Person Responsible
Location of Office
Duration of Activity
1 Enter assigned room and receive orientation
Accompany the patients to assigned room and give orientation
NurseNursing Aide/
Orderly
Hospital Wards/Rooms
, Hospital Building
10 minutes
2 Provide information in the assessment and history taking
Perform assessment and history taking
Nurse on dutyFellow-on-duty
Attending physician
Hospital Wards/Rooms
Hospital Building
15 minutes
3 Cooperates with different diagnostic and therapeutic procedures
Prepare and transport patients for different diagnostic and therapeutic procedures
Nurse on duty variable
End of Transaction
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In-Patient
Frontline Service : Discharge of Patients Clients : PatientsRequirements : Doctor’s Order
Notice of DischargeAvailability of Service: 24 hours/ 7 days a week Contact Numbers : (+632) 9252401Fees : Applicable feesMaximum Duration of Process:
Generation of Statement of Accounts (SOA) and discharge of patients with complete documents within 30 minutes
How to Avail of Service: No. Client
StepsAgency Activity
Person Responsible
Location of Office
Duration of Activity
1 Verify Doctor’s order for discharge
Process discharge
Give Home Instructions
Nurse on duty
Nurse on duty
Unit concerned
15 minutes
2 Get the Notice of Discharge
Issue Notice of Discharge
Nurse on duty Unit concerned
1 minute
3 Get a number from the queuing machine
Near Cashier’s Office,
Basement, MAB
4 Review Billing Statement and pay applicable fees
Issue Billing Statement
Billing Clerk Billing, Basement,
MAB
5 minutes
5 Get a number from the queuing machine
Near Cashier’s Office,
Basement, MAB
6 Pay applicable fees
Receive payment, issue official receipt and stamp Notice of discharge
Cashier Cashier’s Office,
Basement, MAB
10 minutes
7 Present official
Check Official
Nurse on duty Unit concerned
5 minutes
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receipt and stamped notice of discharge
receipt,sign Discharge Notice,Transport patient to lobby andRemove ID band
Nursing Aide/ OrderlyGuard
End of Transaction
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In-Patient
Frontline Service : Hospital Bill PaymentClients : In-PatientsRequirements : Notice Of Discharge
Final Statement of AccountSchedule of availability of Cashiering Service: 24hours / 7daysContact Numbers : (+632) 925-2401 local 4050 - 4051Fees : Applicable FeesTotal/Maximum Duration of Process: 7 Minutes
How to Avail of the Service:
No. Client Steps Agency Activity Person Responsible
Location of Office
Duration of Activity
1 Get a number from queuing machine.
Near Cashiers Office -
Basement, Medical Arts
Bldg.2 Present the
requirements andPay Applicable Fees
Process payment.
Stamp and sign discharge notice and Statement of Accounts.
Cashier Cashiers Office -Basement,
Medical Arts Bldg.
7 Minutes
End of Transaction
*Cashier's Office open from Mondays-Saturdays, 7:30 am to 8:00 pm, Basement, Medical Arts Building 8:00 pm to 7:30 am, Admitting Section, Ground Flr., Hospital Bldg.
Satellite Cashier open from Mondays – Fridays7:30 am to 8:30 pm, Hospital Lobby
Sunday's and Holidays, 9:00 am to 6:00 pm, Basement, Medical Arts Building6:00 pm to 9:00 am, Admitting Section, Ground Flr., Hospital Bldg.
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In-Patient Frontline Service : Issuance of Death Certificate Clients : Immediate Relatives (legal spouse, parents, siblings)
and legal guardian/representative Requirements : Official Receipt of hospital bill Availability of Service: 24 hours/ 7 days a week Contact Numbers : (+632) 9252401 Fees : Applicable fees Maximum Duration of Process: 36 minutes How to Avail of Service:
No. Client Steps Agency Activity
Person Responsible
Location of Office
Duration of Activity
1 Fill out data on the death certificate
Interview legal relative and write down information given
Nurse on duty
Unit concerned
5 minutes
2 Confirm information written on the death certificate
Counter check information on death certificate with Patient's Data Sheet (PDS)
Nurse on duty
Unit concerned
5 minutes
3 Affix signature on informant’s space
Process Death Certificate and bring to the Cashier
Nurse on duty/ nursing aide/ orderly
/clerk
Unit concerned Cashier’s
Office, Basement,
Medical Arts Bldg.
Note: After office hours
Typing of Death Certificate and forward to Cashiers Office
Admitting Staff
Admitting Section 15 minutes
4 Present official receipt of hospital bill and claim Death Certificate
Issue Death Certificate
Cashier Cashier’s Office,
Basement, Medical Arts Bldg.
End of Transaction
In-PatientFrontline Service : Release of Dead BodyClients : Relative of Deceased PatientRequirements : Completely Filled-Out Authorization for Release
of Body Form Available Funeral Service
Schedule of Availability of Service: 24 hours/7 daysContact Numbers : (+632) 925-2401Fees : Applicable FeesTotal/Maximum Duration of Process: 12 minutes
How to Avail of the Services:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration
of Activity1 Present
completely filled-out authorization for release of body form
Receive and Check requirement and availability of Funeral service
Staff on duty Morgue Area, Basement Hospital Building
2 minutes
2 Identify body of deceased patient
Assist in the identification of the body of deceased patient
Staff on duty Morgue Area, Basement Hospital Building
5 minutes
3 Claim body of deceased patient
Sign the requirement and write time and date in logbook before releasing the body of deceased patient
Require funeral service agent to sign requirement and leave contact number
Staff on duty Morgue Area, Basement Hospital Building
5 minutes
End of Transaction
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Executive Package
Frontline Service : Executive Diagnostic PackageClients : PatientRequirements : Doctor’s Order (optional)
Letter of Authorization (if company sponsored)Schedule of availability of Service:
Sunday to Friday: Cardio-Pulmonary Exam (CPE: 24 Hours or 48 Hours)
Sunday to Friday: Cardiovascular Check-Up (CVCU: 24 Hours or 48 Hours)
Sunday to Thursday: Executive Check-Up (ECU: 48 Hours)Admission Time: 5:00 pm to 7:00 pm, except Holidays
Contact Number : (+632) 925-2401 locals 2473-2474 /2103-2105Fees : Applicable RatesTotal/Maximum Duration Procedure: variableTotal Duration of Transaction: 57 minutes
How to Avail of the Service:No. Client Step Agency
activityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Call the
Admitting or Executive Diagnostic Package Coordinator for reservation.
Inform /explain to the patient about the check-up
Admitting staff/
Executive Diagnostic Package
Coordinator
Admitting Office,
Ground Flr./ Executive Diagnostic Package
Coordinator Office (4-A),4th Flr.,
Hospital Bldg
10 Minutes
2 Proceed to Admitting on the day of admission
Process admission
Admitting Staff
Admitting office,
Ground Flr., Hospital
Bldg.
10 minutes
3 Cooperate with the different Diagnostic Examinations and Medical Procedures
Obtain patient history and other information
Prepare patient for the medical test and procedures
Charge Nurse
Cardio-fellow on duty
Petal 4-A, 4th
Flr., Hospital Bldg
30 minutes/ variable
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4 Listen to the discharge
instructions
Perform discharge
instructions
Charge nurse Petal 4-A, 4th
Flr., Hospital Bldg
15 minutes
5 Get discharge notice
Issue the discharge
notice
Charge nurse Petal 4-A, 4th
Flr., Hospital Bldg
3 minutes
6 Proceed to Billing to get
the Statement of Accounts
and to Cashier
Section to pay applicable
fees
Process discharge and
receives payment
Billing Clerk/ Cashier
Billings Section/ Cashier,
Basement, Medical Arts
Bldg.
10 minutes
7 Present approved discharge
notice
Sign the approved discharge
notice
Charge Nurse Petal 4-A, 4th
Flr., Hospital Bldg
2 minutes
8 Follow up official results
and further instructions
Submit all complete
results w/in 5 days to the
doctor's clinic
Executive Diagnostic Package
Coordinator
Executive Diagnostic Package
Coordinator Office
5 minutes
End of Transaction
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Frontline Service : Blood Bank ProceduresClients : PatientsRequirements : Doctor’s request
Approved Letter of Guarantee (if applicable) Service Issue Slip (if applicable) Updated OPD card for service patientsSchedule of availability of Service: 24 hours/7 daysContact number : (+632) 925-24-01 locals 5130 to 5133 / 5138Fees : Applicable fees Total/maximum duration of process: 20 minutesRelease of Results : within 24 hours
How to Avail of the Service:No. Client Step Agency
activityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Present
requirements Receive requirements and issue applicable forms
Staff on duty Reception area, Blood
Bank Division, mezzanine
floorMAB Annex
2 minutes
2 Fill out applicable forms
Process registration
Give charge slip to the patient
Instruct patient to pay applicable fees
Staff on duty Blood Bank Division,
mezzanine floor MAB
Annex, Reception
area
2 minutes
3 Get a number from queuing machine
Cashier office, Basement,
Hospital Bldg. MAB annex
4 Pay applicable fees
Receive payment and issue official receipt
Cashier Cashier office, Basement,
Hospital Bldg. MAB annex
5 minutes
5 Present copy of official receipt
Record official receipt number
Staff on duty Reception area, Blood
Bank Division
2 minutes
6 Submit blood Check if the Staff on duty Reception 1minute
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sample ( if applicable)
Submit for blood extraction
sample is acceptable for testing (with specimen from patient) Perform blood extraction
Medical Technologist
area, Blood Bank Division
Extraction room, Blood
bank division, Mezzanine floor, MAB
annex
5 minutes
7 Claim result Release the result
Blood Bank staff
(Med. Tech.)
Reception area, Blood
Bank Division
3 minutes
End of Transaction
29
Frontline Service : Cardiac Rehabilitation Services Clients : OPD Cardiac Rehabilitation PatientsRequirements : Referral slip Service issue slipSchedule of Availability of Services: Monday-Friday (1-5 PM)Contact Number : (+632) 925-24-01 localFees : Available feesTotal Maximum Duration of Process: 34 minutes
HOW TO AVAIL OF THE SERVICE:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration
of Activity1 Present
requirementsReceive requirements and Give Patient Data Sheet
Staff on duty CCReP Section 8th
flr., MAB
2 minutes
2 Fill out Patient Data Sheet
Assist in the filling out of data sheet,Issue request slip,Instruct patient to pay at the cashier’s office
Secretary CCReP Section 8th
flr., Medical Arts Bldg.
(MAB )
5 minutes
3 Get number from the queuing machine
Near Cashier’s Section
Basement, MAB
4 Pay Fees Receive payment of issue official receipt
Cashier Cashier’s Section
Basement, MAB
5 minutes
5 Present Copy of Official Receipt
Record Official Receipt number
Secretary CCReP Section 8th
flr., MAB Bldg.
2 Minutes
6 Listen to Orientation
Explain the entire program and expect outcome after a month
Rehab. Nurse CCReP Section 8th
flr., MAB
20 minutes
End of Transaction
30
Frontline Service : Invasive Cardiology Management Procedure (Coronary Angiogram, Four- Vessel Angiogram,
Trans-Arterial Chemo-Embolization)Clients : Out-PatientRequirements : Doctor’s Orders
Applicable Laboratory Results/Patient’s Chart Letter of Authorization (LOA) – if applicable Inter-Agency Referral
Availability of Service: 7am – 5pm Monday to Saturday (except Sunday and Holiday)
Contact Numbers : (+632) 9252401 loc. 2129 and 2131Fees : Applicable feesRelease of Result : 3 daysMaximum Duration of Process: 166 minutes
How to Avail of Service: No. Client Steps Agency Activity Person
ResponsibleLocation of
OfficeDuration
of Activity
1 Proceed to CV lab and present requirements
Receive require-ments and pro-cess registration
CV Lab Nurse Nurses’ StationCV Lab
Ground FloorHospital Bldg.
5 minutes
2 Cooperate with the preparation and sign consent and waiver for procedure
Assist in signing consent, conduct health teachings and waiver
Prepare the patient for procedure
CV Lab Nurse
CV Lab Nurse
Nurse’s Station, CV Lab, Ground Flr, Hospital
Bldg.
Holding Area, CV Lab,
Ground Flr, Hospital Bldg.
30 minutes
3 Cooperate during the procedure
Perform proced-ure
CV Lab Team Procedural Room, CV
Lab, Ground Flr, Hospital
Bldg.
45 minutes
4 Cooperate during post procedural care
Perform post-procedure care and health teachings
CV lab Fellow/CV
Nurse
Holding Area, CV Lab. Ground
Flr.,Hospital Bldg.
60 minutes
5 Get the Notice of Discharge
Process Discharge
CV Lab Nurse/ Billing
Nurse’s Station, CV
20 minutes
31
and Billing Statement and pay applicable fees
Clerk/ Cashier
Lab, Ground Flr., Hospital Bldg./ Billing
Section/ Cashier,
Basement, MAB
6 Present Official Receipt to CV Lab
Log the OR number, give instruction and discharge patient
CV Lab Nurse Nurse’s Station, CV
LabGround FloorHospital Bldg.
3 minutes
7 Claim the results
Release the results
CV Lab Office Clerk
CV Lab Office,
Ground FloorHospital Bldg.
3 minutes
End of Transaction
32
Frontline Service : Hemodialysis ProceduresClients : Out-PatientsRequirements : Dialysis Order from Affiliated Nephrologist
Latest Laboratory Hepatitis Profile
Schedule of Availability of Service: Mon, Wed & Sat.: 1st shift 7am, 2nd shift 12nn, 3rd shift 5pm Tues, Thu. & Fri : 1st shift 7am, 2nd shift 12nn
Contact Number : (+632) 9252401 loc. 4024 / 4025Fees : Applicable feesTotal/Maximum Duration of Process: 5 hours and 35 minutesHow to Avail of the Service:
No. Client Step Agency Activity
Person Responsible
Location of Office
Duration of Activity
1 Present requirements, sign consent and pay applicable fees
Present copy of official receipts
Orient patients on policies and give health teachings
Receive payment and issue official receipts
Record OR number in logbook
Renal Nurse
Cashier
Ward Clerk
Renal & Metabolic Unit
Basement, Hospital Building
Cashier's Office
Basement, Hospital Building
Renal & Metabolic Section
Basement, Hospital Building
30 minutes
2 Cooperate in the procedure and termination of treatment
Conduct initial assessment, monitor treatment process and post dialysis assessment
Renal Nurse Renal & Metabolic Unit
Basement, Hospital Building
5 hours
3 Get an appointment for next treatment
Set appointment
Renal Nurse Renal & Metabolic Section
Basement, Hospital Building
5 minutes
End of Transaction
33
Laboratory Medicine Services
Frontline Service : Histopathology / Cytopathology ProceduresClients : Out-PatientRequirements : Doctor’s Request
Completely filled out Blue Form Service Issue Slip (if applicable)
Updated OPD card for service patients Approved Letter of Guarantee (if applicable) Applicable patient preparationsSchedule of Availability of the Service: 24 hours /7 days Processing: Monday to Saturday (except holidays)Contact number : (+632) 925-24-01 locals 5121, 5122, 5144Fees : Applicable FeesTotal Maximum Duration of Process: 1 hourRelease of Official Results: 5 working days (non-complicated cases)
How to Avail of the Services:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Get a
number from queuing machine
Central waiting area,
Ground floor,
MAB annex2 Present
require-ments
Receive requirements and issue applicable forms for fill out
Staff on Duty Division of Laboratory Medicine,
Mezzanine, MAB annex
1 minute
3 Fill out applicable forms
Assist patient in filling out applicable form,Process registration,Give request slip to the patient,Instruct patient to proceed to the cashier
Staff on DutyDivision of Laboratory Medicine,
Mezzanine, MAB annex
3 minutes
4 Get a Ground
34
number from queuing machine
floor, MAB annex
5 Pay applicable fees
Receive payment and issue Official Receipt
CashierCashier’s
Office, ground
floor, MAB annex
5 minutes
6 Present Official Receipt
Record Official Receipt number and advise the patient to wait for their turn to be called.
Staff on Duty Division of Laboratory Medicine,
Mezzanine, MAB annex
1 minute
7 Answer queries in the blue form
Interview patient/ relative
Doctor Division of Laboratory Medicine,
Mezzanine, MAB annex
15 minutes
8 Give specimen/smears or
Cooperate for the procedure
Receive specimen/ smears
Perform Fine Needle Aspiration Biopsy (FNAB) procedure
Staff on Duty
Doctor
Division of Laboratory Medicine,
Mezzanine, MAB annex
2 minutes
30 minutes
9 Claim result Release official result
Staff on Duty Reception area,
division of laboratory medicine, ground Flr, MAB annex
3 minutes
End of Transaction
35
Laboratory Medicine Services
Frontline Service : Laboratory Medicine Procedures Clients : Out-Patient Requirements : Doctor’s Request Service Issue Slip (if applicable) Updated OPD card for service patients Approved letter of guarantee (if applicable) Applicable patient preparations Schedule of Availability of the Service: 24 hours/7 days Contact number : (+632) 925-24-01 locals 5120, 5123, 5139, 5127 Fees : Applicable Fees Total Maximum Duration of Process :17 minutes Release of Official Results : Routine (within 2 hours) STAT for ER Satellite (within 1 hour),
– if applicable As scheduled for special tests /culture and sensitivity tests How to Avail of the Service:
No. Client Step Agency Activity
Person Responsible
Location Of Office
Duration of
Activity 1 Get a
number from the queuing machine
Ground floor, MAB annex
2 Present the requirements
Receive requirements and issue applicable forms for fill out
Staff on Duty Division of Laboratory Medicine,
Mezzanine, MAB annex
3 Fill out applicable forms
Assist patient in filling out applicable forms, Process registration and endorses charge slips to Cashier assigned inside the Laboratory Medicine.
Staff on Duty Division of Laboratory Medicine,
Mezzanine, MAB annex
3 minutes
Issues correspondin
Issuance of Official
Cashier on duty
Division of Laboratory
2 minutes
g Official Receipt (OR)
Receipt Medicine, Mezzanine, MAB annxe
Gets OR No. Registers OR No. in the Medtrak Registry System
Staff on duty Reception Area Division of Laboratory
Medicine, Mezzanine, MAB Annex
1 minute
Directs patient to extraction room
Staff on duty Reception Area Division of Laboratory
Medicine, Mezzanine, MAB Annex
1 minute
4 Cooperate in the procedure
Perform applicable procedure
Medical Technologist
Extraction area, Division of Laboratory
Medicine, Mezzanine, MAB annex
5 minutes
5 Claim result Release official result
Staff on Duty Reception area, Division of Laboratory
Medicine, Mezzanine, MAB annex
3 minutes
End of Transaction
Frontline Service : Neurovascular Diagnostic Examinations Electroencephalogram (EEG) Transcranial Doppler Examination (TCD)
Clients : Out-PatientRequirements : Doctor's request / order
Service Issue Slip (if applicable) Approved Letter of Guarantee Updated OPD Card for service patientsApplicable patient preparation
Schedule of Availability of Service: Monday to Saturday (except holiday) 9:00 am - 5:00 pm
Contact Numbers : (+632)925-24-01 to 50 local 2456Fees : Applicable FeesTotal/Maximum Duration of Process: 1 hr-EEG, 11/2 hr-TCD / variableRelease of Result : within 24 hours (initial Reading) 5 working days
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Present doctor’s
requestReceive request and processes registration
Issue request slip
Instruct patient to proceed to cashier
Medical technologist
Neurovascular laboratory, 4th
floor, hospital bldg.
2 minutes
2 Get a number from queuing machine
Cashier’s office, Basement,
Hospital Bldg.
3 Pay applicable fees
Receive payment and issue official receipt
Cashier Cashier’s office, Basement,
Hospital Bldg.
5 minutes
4 Present copy of official receipt
Record official receipt number
Medical technologist
Neurovascular laboratory, 4th
floor, hospital bldg.
1 minute
38
5 Cooperate in the procedure
Perform procedure
Medical technologist
Neurovascular laboratory, 4th
floor, hospital bldg.
30 minutes
Conduct TCD exam.
Medical technologist
Neurovascular laboratory, 4th
floor, hospital bldg.
1 hour
6 Claim official result
Release official result
Medical technologist
Neurovascular laboratory, 4th
floor, hospital bldg.
3 minutes
End of Transaction
39
Frontline Service : Non-Invasive Diagnostic Cardiology Procedures-Electrocardiography (ECG)
12L/15L ECG24/48 hours Holter Monitoring (HM)Treadmill Exercise Testing (TET)
-Echocardiography2-D and 3-D Echocardiogram2-D Echocardiogram with Doppler (2DED)Special Procedures
Treadmill Stress EchocardiogramDobutamine Stress EchocardiogramTransesophageal Echocardiogram
Clients : Out-PatientsRequirements : Doctor’s Request
2 Valid ID’s (for Holter Monitoring) Service Issue Slip (if applicable) Approved Letter of Guarantee (if applicable) Updated OPD card for Service Patients
Applicable Patient PreparationsSchedule of Availability of the Service:First come, first serve basis Weekdays: 7am to 5 pm (TET 8am)
Saturdays: 7am to 12nn (TET 8am) By Scheduling: HM and Special Procedures
Contact Numbers : (+632) 9252401 locals 3140 to 3145Fees : Applicable FeesTotal Maximum Duration of Process: 20 minutes to 2 hours
(depending on the requested procedure)Release of Results: within 24 hours
How to Avail of the Service:Client Step Agency
ActivityPerson
ResponsibleLocation Of
OfficeDuration of
Activity1 Present the
requirements
Receive the requirements and issue outpatient data forms for fill out
Assign number for queuing (for Adult 2-D Echo/Doppler only).
Receptionist Window 1, Non-Invasive
Diagnostic Cardiology Division,
Ground Floor, Medical Arts
Building
2 minutes
2 Fill out the Process Reception-ist Window 1, Non- 2 minutes
40
Out-Patient data forms
registration Gives the charge slip to the patient Instruct patient to pay applicable fees
InvasiveDiagnostic Cardiology Division,
Ground Floor, Medical Arts
Building3 Get a
number from queuing machine
Cashier’s OfficeBasement,
Medical Arts Building
4 Pay applicable fees
Receive payment and issue Official Receipt
Cashier Cashier’s OfficeBasement,
Medical Arts Building
5 minutes
5 Present Official Receipt
Record Official Receipt number and advises the patient to wait for their name to be called
Receptionist Window 1, Non-Invasive
Diagnostic Cardiology Division,
Ground Floor, Medical Arts
Building
1 minute
6 Sign consent form (if applicable)
Cooperate during procedure
(Start for In-Patient)
Orient patient
Perform the requested procedure
For 2-D Echocardiogram Stress Test: Take patient’s medical history
Monitor Procedures (TET)Perform Physical Examination
Medical Technologist
Medical Technologist/
Doctor
Doctor
Non-Invasive Diagnostic Cardiology Division,
Ground Floor, Medical Arts
Building
Depending on procedure
to be done
7 FOR Retrieve unit Medical Non-Invasive 5 minutes
41
HOLTER MONITORING: Returns on appointed date to turn-in equipment and claim results
and diaryReturns I.D
Release result
Tech.
Receptionist
Diagnostic Cardiology Division,
Ground Flr, MAB
Window 3, Non-Invasive
Diagnostic Cardiology Division,
Ground Flr, MAB
End of Transaction
42
Nuclear Medicine Services
Frontline Service : Radioimmunoassay and Imaging ProceduresClients : Out-PatientsRequirements : Doctor’s Request Approved Letter of Guarantee (if applicable) Service Issue Slip (if applicable) OPD card for service patients
Applicable patient preparations Schedule of Availability of Service: 7:00 AM – 6:00 PM/Monday – Friday Saturdays/Sundays/Holiday –ON CALL ONLY Running day – MWF (Radioimmunoassay procedure) Cut off time of extraction – 9 AM – MWF
Imaging Procedures – by appointmentContact number : (+632) 925-24-01 locals 2164/2165Fees : Applicable FeesTotal/Maximum Duration of Procedure: 2-7 hours (depending on the procedure)Total/Maximum Duration of Transaction: 24 minutesRelease of Official Results: Radioimmunoassay: 5PM – MWF Imaging Procedure: within 24 hours after the procedure is done
How to Avail of the Service: No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Present
requirements
For Imaging Procedure: -Undergo interview
Receive requirements and issue applicable forms for fill out and signing
Interview patient and or relative
Give charge slip to the patient
Instruct patient to pay applicable fees
Secretary/Clerk IV/
Med. Tech.Doctor
Reception, Nuclear Medicine Division
Pagbubungkos Plaza
3 minutes
10 minutes
43
2. Get number from queuing machine
Cashier’s Office,
Basement, Medical Arts
Bldg3. Pay applicable
feesReceive payment and issue official receipt
Cashier Cashier’s Office,
Basement, Medical Arts
Bldg
10 minutes
4 Present Official Receipt
Record the Official Receipt number on the Request slip and logs patient data in the RIA logbook.
Secretary/Clerk IV/
Med. Tech.
Reception,Nuclear
Medicine Div., Pagbubungkos
Plaza
5 minutes
5. For nuclear imaging procedures: return on the scheduled date of the procedure
Cooperate In the procedure
Check and verify requested procedure
Perform procedure
Med. Tech. Nuclear Med Lab, Nuclear Med Division
Pagbubungkos Plaza
2-7 hours (depending
on the procedure)
6. Claim result Release results
Secretary/Clerk IV/
Med. Tech.
Reception, Nuclear Med
Division Pagbubungkos
Plaza
3 minutes
End of Transaction
44
Peripheral Vascular Services
Frontline Service : Vascular Check-UpClients : Out-PatientRequirements : Doctor’s Referral Slip/OPD CardSchedule of Availability of Service: Tuesday – Friday, 1:00 pm to 4:00 pmContact Number : (+632) 925-2401 local 5135-5136 Fees : Applicable FeesTotal/Maximum Duration of Transaction: 18 minutesTotal/Maximum Duration of Procedure: 1 Hour
How to Avail of the Services:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration
of Activity1 Present
requirementsReceive requirements and Issue charge slip
Instruct patient to pay
Clerk/Medical Technologist
Vascular Lab, Ground floor,MAB Annex
2 minutes
2 Get number from queuing machine
Cashier’s Office
MAB AnnexGround Flr
3 Pay applicable fees
Receive payment and issue official receipt
Cashier Cashier’s Office
MAB AnnexGround Flr
10 minutes
4 Present official receipt
Record the official receipt
Clerk Vascular Lab, Ground floor,MAB Annex
1 minute
5 Submit to Vascular check-up
Examine patient Assigned Doctor
Vascular Lab, Ground floor,MAB Annex
1 hour
6 Ask schedule for the next check-up
Schedule patient for next check up
Clerk Vascular Lab, Ground flr,MAB Annex
5 minutes
End of Transaction
45
Peripheral Vascular Services
Frontline Service : Vascular ProceduresClients : PatientRequirements : Doctor’s Request Form
Approved Letter of Guarantee (if applicable) Service Issue Slip (if applicable) OPD card ( for service patients) Applicable patient’s preparation
Schedule of Availability of Service: Monday – Friday, 8:00 am to 4:00 pmContact Number : (+632) 925-2401 locals 5135-5136Fees : Applicable FeesTotal/Maximum Transaction Process: 22 minutes (depending on the procedures)Total/Maximum Duration of Procedure: 3 hoursRelease of Result : Within 24 hours
How to Avail of the Services:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration
of Activity1 Present
requirementsReceive requirements and issue vascular forms for fill out
Clerk Reception area,
Vascular Lab, Ground
floor,MAB Annex
3 minutes
2 Fill-out vascular forms
Assist patient in filling out form
Clerk/Med Tech
Reception area,
Vascular Lab, Ground
floor,MAB Annex
5 minutes
3 Get number from the queuing machine
Cashier’s Office
MAB AnnexGround FloorOr Basement
Hospital Building
4 Pay applicable fees
Receive payment and issue official receipt
Cashier Cashier’s Office
MAB AnnexGround FloorOr Basement
Hospital
10 minutes
46
Building5 Present
official receiptRecord official receipt and advise patient to wait for their name to be called
Clerk/Med Tech
Reception area,
Vascular Lab, Ground
floor,MAB Annex
1 minute
6 Cooperate during the procedure
Perform procedure
Take medical history
Med Tech
Doctor
Vascular Lab, Ground
floor,MAB Annex
1-3 hours (depending on the procedure)
7 Claim results Release result Clerk Reception area,
Vascular Lab, Ground
floor,MAB Annex
3 minutes
End of Transaction
47
Peripheral Vascular Services
Frontline Service : Wound CareClients : Out-PatientRequirements : Doctor’s RequestSchedule of Availability of Service: Monday – Friday, 8:00 am to 5:00 pmContact Number : (+632) 925-2401 locals 5135-5136Fees : Applicable FeesTotal/Maximum Duration of Transaction: 40 minutesTotal/Maximum Duration of Procedure: 30 minutes to 1 Hour
How to Avail of the Services:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration
of Activity1 Present doc-
tor’s requestReceive doctor’s request and issue applicable forms for fill out and signing
Nurse/ Unit Clerk
Wound care clinic,
Vascular Division, GF, MAB annex
building
3 minutes
2 Fill out and signs consent form
Assist patient in filling out and signing of consent form
Nurse/ Unit Clerk
Wound care clinic,
Vascular Division, GF, MAB annex
building
5 minutes
3 Cooperate in the procedure
Perform procedure
Nurse/ Doctor Wound care clinic,
Vascular Division, GF, MAB annex
building
30 minutes to 1 hour
Prepare Laboratory request form and specimen (if necessary)
Nurse/ Doctor Wound care clinic,
Vascular Division, GF, MAB annex
building
5 minutes
4 If with Laboratory request:
Receive request and specimen
Prepare charge slip
Laboratory lab Clerk
Division of Laboratory
Medicine, 2/F Annex Building
10 minutes
48
Instruct patient to pay
5 Get number from queuing machine
Cashier’s Office G/F
Annex Building
6 Pay applicable fees
Receive payment and issues official receipt
Cashier Cashier’s Office G/F
Annex Building
10 minutes
7 Present official and provisionary receipt
record Official receipt number and take provisionary receipt
Nurse/Unit Clerk
Wound care clinic,
Vascular Division, GF, MAB annex
building
2 minutes
8 Note Schedule for next wound dressing
Schedule for follow up visit
Nurse Wound care clinic,
Vascular Division, GF, MAB annex
building
5 minutes
End of Transaction
49
Physical Medicine and Rehabilitation Services
Frontline Service : Electromyography-Nerve Conduction Velocity (EMG-NCV)Clients : In-Patients and Out-PatientsRequirements : Doctor's Request
Service Issue Slip (if applicable) Approved Letter of Guarantee (if applicable)
Schedule of Availability of Service: Tuesday, Thursday & Saturday (1:00 – 3:00 pm)
Contact Numbers : (+632) 925-2401 locals 3802-3804Fees : Applicable FeesTotal/Maximum Duration of Procedure: 45 minutesTotal/Maximum Duration of Transaction: 20 minutesRelease of Official Results: after 5 minutes
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Present
requirementsProcess registration
Give charge slip to patients
Instruct patients to proceed to cashier
Rehab Secretary/ Rehab Aide
PMRD, 8th
Floor, Medical Arts Bldg.
3 minutes
2 Get a number from queuing machine
Basement, Medical Arts
Bldg.3 Pay applicable
feesReceive the payment and issues official receipts
Cashier Cashier's office, Basement,
Medical Arts Bldg.
10 minutes
4 Present official receipt (OR)
Record OR to Census Logbook
Rehab Secretary/ Rehab Aide
PMRD, 8th
Floor, Medical Arts Bldg.
2 minutes
Call for Electromyographer
Rehab Secretary/ Rehab Aide
PMRD, 8th
Floor, Medical Arts Bldg.
2 minutes
5 Cooperate in the procedures
Perform procedures
Electromyographer PMRD, 8th
Floor, Medical Arts Bldg.
45 minutes
6 Claim results Release results Electromyographer PMRD, 8th
Floor, Medical Arts Bldg.
3 minutes
End of Transaction
50
Physical Medicine and Rehabilitation Services
Frontline Service : Splint Fabrication Clients : Out-PatientsRequirements : Prescription for Splint FabricationSchedule of Availability of Service: Monday to Saturday 7:00 am – 5:00 pm Contact Numbers : (+632) 925-2401 locals 3802-3804Fees : Applicable FeesTotal Duration of Transaction Process: 20 minutesTotal Duration of Transaction Procedure: 45 minutesRelease of Fabricated Splint: 3 working days
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration
of Activity1 Present
requirementsProcess registration
Give charge slip to the patient
Instruct patient to proceed to the cashier
Rehab Secretary/Rehab Aide
PMRD, 8th Flr, Medical Arts Bldg
(MAB)
3 minutes
2 Pay applicable fees
Receive payment and issue receipt
Cashier Cashier’s Office, Basement, MAB
10 minutes
3 Present official receipt (OR)
Record OR to Census Logbook
Rehab Secretary/Rehab Aide
PMRD, 8th Flr, MAB
2 minutes
Call for Orthotist Rehab Secretary/Rehab Aide
PMRD, 8th Flr, MAB
2 minutes
4 Cooperate in the procedure
Perform procedures
Orthotist PMRD, 8th Flr, MAB
45 minutes
5 Claim fabricated splint
Release fabricated splint
Orthotist PMRD, 8th Flr, MAB
3 minutes
End of Transaction
51
Physical Medicine and Rehabilitation Services
Frontline Service : Physical/Occupational Therapy, Wellness Program Clients : New Patients Current patientsRequirements : Doctor's PrescriptionSchedule of Availability of Service: Monday to Saturday, 7:00 am to 5:00 pmContact number : (+632) 925.24.01 locals 3803 to 3804
Local 3802 (Occupational therapy section)Fees : Applicable FeesTotal Duration of Procedure: 1.5 hoursTotal Duration of Transaction Process: 18 minutes
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Present
prescription & contact details ( for new patients only)
Process registrationIssue charge slipInstruct patient to pay
Rehab Secretary
8th Floor, Medical Arts Bldg. (MAB)
3 minutes
2 Get number from queuing machine (for current and new patients)
Cashier's office,
Basement, MAB
3 Pay applicable fees
Receive payment and issue official receipt
Cashier Cashier's office,
Basement, MAB
10 minutes
4 Present copy of official receipt
Record official receipt and call assigned PT/OT
Rehab Secretary
8th Floor, MAB 2 minutes
5 Submit self for evaluation, assessment & treatment
Perform appropriate evaluation, assessment & treatment
Physical / Occupational
Therapist
8th Floor, MAB 1 to 1 ½ hours
6 Confirm next treatment date
Set the treatment schedule
Physical / Occupational
Therapist
8th Floor, MAB 3 minutes
End of Transaction
52
Pulmonary Services
Frontline Service : Bronchoscopy ProcedureClients : OPD PatientsRequirements : Doctor’s Request Availability of Service: By AppointmentContact Numbers : (+632) 9252401 loc. 2271Fees : Applicable Fees Total Duration of Transaction Process: 20 minutesTotal Duration of Procedure: 40 minutesRelease of Result : On the same day
How to Avail the Service: No. Client Steps Agency Activity Person
ResponsibleLocation of
OfficeDuration
of Activity1 Present
applicable requirements
Receive requirements and issues consent form
PulmoBroncho Fellow
Special Procedure
Room (SPR), 2nd
floor, in front of room Hospital
bldg,
2 minutes
2 Accomplish Consent Form
Assist patient in filling out the consent form Orients patient
Pulmo Broncho Fellow / Respiratory Therapist
Special Procedure
Room (SPR), 2nd
floor, in front of room Hospital
bldg,
2 minutes
3 Cooperate in the procedure
Perform procedure Issue request slip Instructs relative to pay
Pulmo Bronch Fellow / Respiratory Therapist
Special Procedure
Room (SPR), 2nd
floor, in front of room Hospital
bldg,
40 minutes
4 Pay applicable fees
Receive payment and issues official receipt
Cashier Cashier section Basement, Hosp. Bldg.
10 minutes
5 Present official receipt
Record official receipt
Respiratory Therapist
Special Procedure
Room
3 minutes
53
(SPR), 2nd floor, in front
of room Hospital
bldg, 6 Claim result Release result Respiratory
TherapistSpecial
Procedure Room
(SPR), 2nd
floor, in front of room Hospital
bldg,
3 minutes
End of Transaction
54
Pulmonary Services
Frontline Service : Polysomnograph Procedures (Sleep Procedures) Clients : OPD PatientsRequirements : Doctor’s Request Availability of Service: By AppointmentContact Numbers : (+632) 9252401 loc. 2480Fees : Applicable Fees Total Duration of Procedure: 9 hoursTotal Duration of Transaction Process: 50 minutesRelease of Result : Within 24 hours
How to Avail the Service: No. Client Steps Agency Activity Person
ResponsibleLocation of
OfficeDuration
of Activity1 Present
doctor's request
Receive doctor’s request Integrate patient information and determine final testing parameters
Sleep technologist
Sleep Clinic 4/F, Hosp.
Bldg.
15 minutes
2 Answer questionnaire
Assist patient Sleep technologist
Sleep Clinic 4/F, Hosp.
Bldg.
30 minutes
3 Cooperate in procedure
Perform sleep testing Instruct to proceed at the cashier's office
Sleep technologist
Sleep Clinic 4/F, Hosp.
Bldg.
9 hours
4 Get number from queuing machine
Cashier Section
Basement, Hosp Bldg
5 Pay applicable fees
Receive payment and issue official receipt
Cashier Cashier Section
Basement, Hosp Bldg
10 minutes
6 Present official receipt
Record official receipt
Sleep technologist
Sleep Clinic 4/F, Hosp.
Bldg.
2 minutes
7 Claim result Release result Sleep technologist
Sleep Clinic 4/F, Hosp.
Bldg.
3 minutes
End of Transaction
55
Pulmonary Services
Frontline Service : Pulmonary Function Tests (PFT) -Pediatric and Adult Arterial Blood Gas Analysis
Clients : OPD PatientsRequirements : Doctor’s Request
Service Issue Slip (if applicable) Approved letter of guarantee (if applicable) OPD Card (for Service Patients)
Availability of Service: Monday to Saturday, 9:00 am to 5:00pm (for PFT) 24 hours/ 7 days for Arterial Blood Gas Studies
Contact Numbers : (+632) 9252401 loc. 2159-2160Fees : Applicable Fees Total Duration of Procedure: 40 minutesTotal Duration of Transaction Process: 20 minutesRelease of Result : within 24 hours (initial reading) after three (3) workings
days for PFT results; After 20 minutes for ABG results
How to Avail the Service: No. Client Steps Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Present
requirementsReceive requirements and issue patient data slip
Receptionist Pulmonary Laboratory, Ground Flr,
Hospital Bldg
2 minutes
2 Fill out patient data slip
Give request slip and instruct patient to proceed to cashier's office
Receptionist Pulmonary Laboratory,
G/F, Hospital Bldg.
2 minutes
3 Get number from queuing machine
Cashier Section,
Basement, Hosp. Bldg.
4 Pay applicable fees
Record official receipt
Receptionist Pulmonary Laboratory,
G/F, Hospital Bldg.
10 minutes
5 Present official receipt
Record official receipt
Receptionist Pulmonary Laboratory,
G/F, Hospital Bldg.
2 minutes
6 Cooperate in the
Perform procedure
Staff on duty Pulmonary Laboratory,
40 minutes
56
procedure G/F, Hospital Bldg.
7 Claim result Release result Receptionist Pulmonary Laboratory,
G/F, Hospital Bldg.
4 minutes
End of Transaction
57
Pulmonary Services
Frontline Service : Pulmonary Rehabilitation Program Pre-Flight Assessment Six Minute Walk Test
Clients : OPD PatientsRequirements : Doctor’s Request
OPD Card (if applicable) Availability of Service: Monday to Friday, 8:00 am to 5:00pmContact Numbers : (+632) 9252401 loc. 3805Fees : Applicable Fees Total Duration of Process: one hourRelease of Result : For Pre-flight Assessment Test: 30 Minutes
For six Minute Walk Test: 10 Minutes after procedureFor Pulmo Rehab Results: 2 Days after the two months program
How to Avail the Service: No. Client Steps Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration
of Activity1 Present
applicable requirements
Receive requirements and interview patient
Issue information sheet and consent form for fill out
Pulmo Rehab Fellow
Rehab Coor-dinator
Pulmo Rehab. Section, 8th floor, MAB
5 minutes
2 Fills out patient information sheet and answer questionnaire (for rehab program) Sign consent form ( for pre flight procedure)
Assist patient
Instruct patient to proceed to cashier's office
Pulmo Rehab Fellow Rehab
Coordinator
Pulmo Rehab section, 8th floor, MAB
10 minutes
3 Get number from queuing machine
Cashier section, Basement, MAB
4 Pay applicable
Receive payment and
Cashier Cashier section, Basement, MAB
10 minutes
58
fees issue official receipt
5 Present official result
Record official receipt
Rehab Coordinator
Pulmo Rehab section, 8th floor, MAB
2 minutes
6 Cooperate in pre testing (for pulmo rehab)
Cooperate in procedure ( for pre flight and 6 minutes walk test)
Perform procedure
Pulmo Rehab Fellow Rehab
Coordinator
Pulmo Rehab section, 8th floor, MAB
30 minutes
7 Claim result ( for pre flight and 6 minutes walk test)
Release result
Pulmo Rehab Fellow Rehab
Coordinator
Pulmo Rehab section, 8th floor, MAB
3 minutes
End of Transaction
59
Radiological Services
Frontline Service : Radiological Services CT-MRI procedures Ultrasound procedures Interventional Radiology ProceduresClients : OUT PatientsRequirements : Doctor’s request Approved letter of guarantee (if applicable) Service Issue Slip (if applicable) OPD card (if applicable) Applicable patient preparations Schedule of Availability of Service:
Diagnostic Radiology Procedures: 24/7 CT-MRI: Monday to Friday: 8 am to 5 pm, Saturday: 8am-12 nn
Sundays and Holidays: on-callUltrasound: Monday to Saturday: 8am to 5 pm
Sundays and Holidays: on-callInterventional Radiology: Monday to Friday: 8 am to 5 pm
Saturday: emergency cases only, Sundays and Holidays: on-call
Contact number : (+632) 925-24-01 Locals: 2123-2125 Diagnostic radiology procedures 2100-2101 CT-MRI
2132 Ultrasound 2126/2128/2130 Interventional radiology
Fees : Applicable feesTotal Duration of Transaction Process:14 minutesTotal Duration of Procedure: 30 minutesRelease of results : Within 12 hours after the procedure
How to avail of the Service: No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration
of Activity1 Present
applicable requirements
Fill out and sign applicable documents
Receive requirements and issue applicable documents for fill out and signing
Assist in fill out and signing of applicable documents
Receptionist/ Radiologic
Technologist
G/F Hospital Bldg.
2 minutes
2 minutes
60
Process registration
Give charge slip to patient
Instruct patient to proceed to the cashier
2 Get number from queuing machine
Cashier’s office, Basement,
Medical Arts Bldg.
3 Pay applicable fees
Receive payment and issues OR
Cashier Cashier’s Office, basement, MAB
5 minutes
4 Present official receipt
Record OR# and advise patient to wait for their name to be called
Receptionist G/F HospitalBldg
2 minutes
5 Cooperate in the procedure
Perform requested procedure
Radiologic Technologist/
Fellows
G/F HospitalBldg
30 minutes
6 Claim result Release result Receptionist G/F HospitalBldg
3 minutes
End of Transaction
Note: Patient is given instructions regarding preparation on all special procedures at least 24 hours prior to examination.
61
Surgical PCI Packages (SPP)
Frontline Service : Cardiac Catheterization/ Surgical Package DealClients : Out Patients (for coronary angiogram, cardiac
catheterization and surgical interventions)Requirements : CCPD/SPD Contract duly signed by the attending
physicians and approved by Asst. Director for Administrative Services
Schedule of Availability of Service: Monday to Friday: 8 am – 5:00 pmContact Number : (+632) 925-24=01 local 3242Fees : Applicable feesTotal Duration of Process: 40 minutes
How to Avail of the Service:No. Client Step Agency Activity Office/Person
ResponsibleLocation of Office Duration of
Activity1 Present
requirementsReceive requirementsExplains package mechanics
Staff on duty 2nd Floor, M.A.B. 15 minutes
2 Proceed to Admitting Section
Verify availability of patient's roomInstruct patient to proceed to cashier
Admitting Clerk 1st floor, Hospital Building
10 minutes
3 Get number from queuing machine
Cashier’s office, basement, MAB
4 Pay applicable fees
Receive payment and issues official receipt
Cashier Cashier’s office, Basement, M.A.B.
10 minutes
5 Proceed to Billing Section
Validate contract Billing Supervisor
Billing section, Basement, M.A.B.
5 minutes
6 Proceed to Admitting Section
Verify availability of patient’s room
Admitting clerk 1st floor, Hospital Building
7 Await turn for admission
1st floor, Hospital Building
End of Transaction
62
Other Services
Frontline Service : Art GalleryClients : Visual Artist / ExhibitorRequirements : Letter Proposal
Resume of Artist or Group of Artists Photos of Art Work Notarized Form of Agreement Poster Invitation and Mounted Poster Checklist of Paintings
Schedule of availability of Service: 8 hours / 5 daysContact Number : (+632) 925-2401 local 3218Fees : 20% Commission for Sold PaintingsTotal/Maximum Duration Process: 14 hours and 50 minutes
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration
ofActivity
1 Present and submit Requirements
Receive & forward to PHC Art Gallery Committee (AGC) Chairman
Clerk Allied Services Division (ASD), 2nd
Flr., Medical Arts Bldg. (MAB)
5 minutes
2 Follow-up status of Proposal after 5 working days
Process approval of the request
AGC members and
Chairman
ASD, 2F, MAB 5 minutes
3 Meet with the chairman & secure copy of Agreement Form with checklist
Discuss details with the Artist and assist in the preparation of the requirements
AGC Chairman
ASD, 2F, MAB 30 minutes
4 Submit complete requirements for the Exhibit within 15 days
Receive the complete requirements
Clerk / AGC Chairman
ASD, 2F, MAB 10 minutes
5 Set-up of Assist on the AGC PHC art Gallery, GF, 8 hours
63
Exhibit Exhibit Set-up Chairman & Housekeeping
Staff
MAB Lobby
6 Open the Exhibit
Attend the Exhibit proceedings
AGC Committee Members &
housekeeping Staff
PHC Art Gallery, GF, MAB Lobby
3 hours
7 Man the Exhibit
Oversee the duration of the Exhibit
AGC Committee Members
PHC Art Gallery, GF, MAB Lobby
8 Pull-out the Exhibit
Supervise the activity
Housekeeping & Security
Staff
PHC Art gallery, GF, MAB lobby
3 hours
End of Transaction
64
Other Services
Frontline Service : Telephone CallsClients : General PublicRequirements: Schedule of availability of Service: 24 hours/7 daysContact Number : (+632) 925-2401Fees: Total/Maximum Duration Process: 2 minutes and 30 seconds
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Call Answer the call Switchboard
Operator on dutySwitchboard Section, Ground Flr., Medical
Arts Bldg.
30 seconds
2 Inquire Answer queries/ connect the call to the desired unit
Switchboard Operator on duty
Switchboard Section, GF, MAB
2 minutes
End of Transaction
65
Other Services
Frontline Service : Use of Function RoomsClients : Private and Government AgenciesRequirements : Approved letter of request from Director's OfficeSchedule of availability of Service: Monday – Friday (8 hrs.)Contact Number : (+632) 925 2401 local 3218Fees : Applicable FeesTotal Duration Process: 25 Minutes
How to Avail of the Service: No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Call for the
availability of function room
Confirm availability of function room and issue Function Request Form
Administrative Officer II
Allied Services Division, 2nd Flr.,
Medical Arts Bldg. (MAB)
2 minutes
2 Present requirements and fill out form
Process function request
Administrative Officer II
Allied Services Division, 2nd Flr.,
MAB
15 minutes
3 Get number from the queuing machine
Near Cashier's Office, Basement,
MAB
4 Pay applicable fees
Accept payments and issues official receipt
Cashier Cashier's Office, Basement, MAB
5 minutes
5 Present official receipt
Record official receipt number and endorse the approved form to concerned offices.
Administrative Officer II/ DC II
Allied Services Division, 2nd Flr.,
MAB
3 minutes
End of Transaction
66
Other Services
Frontline Service : Screening for Blood DonationClients : DonorsRequirements : Valid ID's
Donor’s Criteria: 18 to 60 years old, at least 110 lbs, no medicine intake, no recent alcohol intake for 24 hours, should have at least 5 hours sleep, for female donor (no menstrual period)
Schedule of availability of Service: 8:00 AM to 5:00 PM/daily Contact number : (+632) 925-24-01 locals 5130 to 5133 / 5138Fees : Applicable feesTotal duration of transaction process: 45 minutesTotal duration of procedure/blood extraction: 2 hoursRelease of Official Result: within 24 hours
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Get number from
the queuing machine
Ground floor, MAB Annex
near the stairway
2 Fill out blood donor form
Issue and assist blood donor in filling out of form
staff on duty Blood Bank Division,
Mezzanine floor, MAB
Annex
10 minutes
3 Submit form Receive/ check donor's question-naire
staff on duty Reception area, Blood
Bank Division, Mezzanine floor, MAB
Annex
10 minutes
4 Wait for number to be flashed on monitor
Log donors data and call donor for screening-pre counseling
Staff on duty Screening area, Blood
Bank Division, Mezzanine floor, MAB
Annex
5 minutes
5 Donor interview/ blood extraction
Initial screening, extract blood sample and collect urineInform results
Staff on duty Screening area, Blood
Bank Division
1 hour 30 minutes
5 minutes
67
of initial screening.
6 Actual blood donation (450ml)
Prepare blood bags and do aseptic collection of donors blood (450ml)
Staff on duty Bleeding area, Blood
Bank Division
30 minutes
7 Rest after donation
Post donation counseling
Staff on duty Bleeding area, Blood
Bank Division
15 minutes
End of Transaction
68
Other Services
Frontline Service : Blood ProcurementClients : Out-PatientsRequirements : request from the hospital/centerSchedule of availability of Service: 24 hours/7 daysContact number : (+632) 925-2401 locals 5130Fees : Applicable fees Total duration of process: 20 minutesHow to Avail of the Service:No. Client Step Agency
activityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Present
requirement Receive requirement and issue applicable form for fill out
Staff on duty Reception area, Blood Bank
Division, mezzanine floor
MAB Annex
1 minute
2 Fill out applicable form/ patient's data
Process registration Give charge slip to the patient Instruct patient to proceed to the cashier
Staff on duty Reception area, Blood Bank
Division, mezzanine floor
MAB Annex
2 minutes
3 Get number from queuing machine
Cashier’s office, Basement,
Hospital Bldg. or MAB annex
4 Pay applicable fees
Receive payment and issues official receipt
Cashier Cashier’s office, Basement,
Hospital Bldg. or MAB annex
5 minutes
5 Present official receipt
Record official receipt number
Staff on duty Reception area, Blood Bank
Division
2 minutes
6 Receive blood /blood components
Prepare and release blood /blood components
Staff on duty Reception area, Blood Bank
Division
10 minutes
End of Transaction
69
Other Services
Frontline Service : Dietary Instruction Clients : Out-PatientRequirements : Doctor’s Diet PrescriptionSchedule of Availability of Service: 2:00-4:00 p.m. – Monday to FridayContact numbers : (+632) 925-2401 locals 4044-4046Fees : Applicable FeesTotal Duration of Process: 30 minutes
How to Avail of the Service:NO. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Present diet
prescription
Assess nutritional status
Instruct patients to pay
Clinical Nutritionist/
Dietitianon duty
Division of Nutrition and Dietetics Office, Basement, Hospital
Bldg.
5 minutes
2 Get a number from the queuing machine
Near Cashier’s Office, Basement, Medical Arts Bldg.
3 Pay applicable fees
Receive payments and issue official receipt
Cashier Cashier’s Office, Basement, Medical
Arts Bldg.
5 minutes
4 Get dietary instructions
Give dietary instructions
Clinical Nutritionist/
Dietitianon duty
Division of Nutrition and Dietetics Office, Basement, Hospital
Bldg.
20 minutes
End of Transaction
70
Other Services
Frontline Service : Purchase of Nutritionals (Dietary Supplements)Clients : PatientsRequirements : Doctor’s prescription
Senior Citizen ID (if applicable) Service Issue Slip (if applicable)
Schedule of Availability of Service: Monday to Friday – 8 am to 5 pmContact Numbers : (+632) 925-24-01 locals 4044 to 4046Fees : Applicable FeesTotal Duration of Process: 12 minutes
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation
ofOffice
Durationof
Activity1 Present
applicable requirements
Prepare and issue service slip /Instruct patient to pay
Cafeteria Cashier
1475 Cafeteria, Basement,
Medical Arts Bldg.
2 minutes
2 Pay applicable fees
Prepare official receipt and accept payment
Cashier Cashier’s Office, Basement,
Medical Arts Bldg.
5 minutes
3 Present officialreceipt and get purchased item
Record official receipt number and give purchased item
CafeteriaCashier
1475 Cafeteria,Basement,
Medical Arts Bldg.
5 minutes
End of Transaction
71
Other Services
Frontline Service : Approval of Letter of Authority/GuaranteeClients : Out-PatientsRequirements : Letter of Authority/Guarantee from Company
or Health Maintenance Organization (HMO)Availability of Service: 8:00a.m. - 5:00p.m. / Monday - FridayContact Numbers : (+632) 9252401 locals4052-4053
Patients with Letters of Authorization (LOAs) and Guarantee Letters (Gls) from PHC-accredited Companies and Health Maintenance Organizations (HMOs) will no longer be required to have the LOAs and GLs approved/signed by the Credit and Collection unit prior to procedures as outpatient.
72
Other Services
Frontline Service : Approval of 20% Discount on Medicines Clients : Government Employees and DependentsRequirements : Certificate of Employment (COE)
Office ID Prescription Slip(s)
Schedule of Availability of Service: Mondays- Fridays, 8:00 am to 5:00 pmContact Numbers : (+632) 9252401 local 3223Total Duration of Process: 5 minutes
How to Avail of the ServiceNo. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration
ofActivity
1 Present Certificateof Employment (CEO), ID and prescription slip(s)
Check on Validity of CEO, ID and prescription slip(s) *
Administrator’s Office staff
Administrator’s Office, 2nd flr. MAB
3 minutes
2 Get approval Stamp 10% discount approval
Administrator’s Office staff
Administrator’s Office, 2nd flr. MAB
2 minutes
End of Transaction
* In the absence of COE and Office ID, Unexpired GSIS E-card may be presented.
73
Other Services
Frontline Service : Releasing of Checks for SuppliersClients : Company CollectorsRequirements : Official Receipt and Company ID.Schedule of availability of Service: Friday 9:00am - 11:00am, 1:00pm - 4:00pmContact Numbers : (+632) 925-2401 local 4050 to 4051Fees : NoneTotal Duration of Process: 5 minutes
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of Office Duration of
Activity1. Present
Company ID
Issue Official Receipt
Validate Official Receipt.
Cash Clerk Cashiers Office -Basement, Medical
Arts Bldg.
3 minutes
2. Acknowledge receipt of check
Release check. Cash Clerk Cashiers Office – Basement, Medical
Arts Bldg.
2 minutes
End of Transaction
74
Financial Services Frontline Service : Credit and Collection and Accounting Divisions Procedures Clients : Attending Physicians (APs) and Consultants Requirements : APs and Consultants Bank Account Numbers Schedule of Availability of the Service: Office hours 8:00am to 5:00pm Contact number : (+632) 925-24-01 locals 4063/64/65 (Accounting Division) locals 4050/51/52 (Credit & Collection Division) Fees : None Total Maximum Duration of Process : Maximum of 7 working days Release of Payment/Refund of Professional Fee (PF) : In-Patient - 7 working days Packages - 2 working days PhilHealth - 7 working days
How to Avail of the Service:
No. Client Step Agency Activity Person Responsible
Location Of Office
Duration of
Activity 1
One-time opening of bank account
Receives APs bank account number
Computer Operator,
Accounting Division
Accounting Division,
Basement
2 minutes
Collection of Professional Fees (PFs)
Cashier Cashier's Office,
Basement
2 minutes
Verification / Computation of payment
Computer Operator,
Accounting Division
Accounting Division,
Basement
10 mins / doctor
Encoding / Checking / Auditing
Computer Operator,
Accounting Division
Accounting Division,
Basement 6 days
2 Preparation of Summary
Computer Operator,
Accounting Division
Accounting Division,
Basement
3 Debit Advice Preparation and Releasing
Computer Operator,
Accounting Division & Cashier, Credit &
Collection Division
End of Transaction Note: Previous procedure – individual voucher and check are prepared for the refund of PF
Other Services
Frontline Service : Filing of Application for EmploymentClients : ApplicantsRequirements : Original and photocopies of the following:
1. Transcript of records w/ SO number and with RLE for nurses , Med. Tech. & other paramedical position
2. Board Rating & PRC license (2 copies)3. Certificate/ID of membership in any organization 4. NBI clearance (for local employment)5. Residence certificate (current year)6. Certificate of work experience and training7. 3 ID pictures (2x2)8. Marriage contract (if any)9. Birth Certificate of children (if any)10.Certificate from school with general weighted average score11. BIR TIN 12.Birth Certificate of applicants
Schedule of Availability of Service: Tuesday - Friday (8:00 am to 4:00 pm)Contact Numbers : (+632) 925-24-01 to 50 local 3815/3816Fees : noneTotal/Maximum Duration of Process: 10 minutes
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Present the
requirements and fill out application form
Receive and issue application and personal history statement (PHS) form
HR Staff HRD Office, 8th
floor, Medical Arts Bldg.
5 minutes
2 Submit properly filled out forms and get schedule of examination
Process application, schedule and issue examination slip
HR Staff HRD Office, 8th
floor, Medical Arts Bldg.
5 minutes
End of Transaction
75
Other Services
Frontline Service : Screening Test (IQ and Personality) & InterviewClients : Applicants for PHC and other AgenciesRequirements : Official Receipt and
Examination Slip: for PHC Applicants Request letter with list of examinees from agency: for
non PHC applicantsSchedule of Availability of Service: Every Monday (9:00 am – 3:00 pm)Contact Number : (+632) 925-24-01 to 50 local 3815/3816Fees : P75.00 Technical Positions, P50.00 Nursing Aides,
P200.00 non-PHC applicantsTotal/Maximum Duration of Process: 3 hours and 52 minutes Release of Results : 3 days after examination
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Submit
requirementsAccept and verify requirements
HR Staff HRD Office, 8th floor,
Medical Arts Bldg.
5 minutes
2 Pay applicable fees
Present official receipt
Accept payment
Record Official Receipt number
Cashier
HR Staff
Cashier’s Office,
Basement, MAB
HRD Office, 8th floor,
Medical Arts Bldg.
5 minutes
2 minutes
3 Take the Examination and report for initial interview
Administer examination and conduct interview
HR Staff HRD Office, 8th floor,
Medical Arts Bldg.
3 hours and 30 minutes
4 See posted results at HRD bulletin board
For non-PHC applicants get the sealed result
Post result of exam at the bulletin board
Issue results
HR Staff
HR Staff
HRD Office, 8th floor,
Medical Arts Bldg.
5 minutes
5 minutes
End of Transaction
76
Other Services
Frontline Service : Reference/Background Check Clients : Resigned EmployeesRequirements : Reference/Background Check formSchedule of Availability of Service: Monday – Friday, 8:00 am – 5:00 pmContact Number : (+632) 925-24-01 to 50 local 3815/3816Fees : applicable feesTotal/Maximum Duration of Process: variable
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Submit Reference/
Background check form either personally, thru e-mail or mail via postal service
process needed information
HRMO III HRD Office, 8th floor
variable
2 Wait for the sealed filled-up reference/ background check form via postal service or via e-mail
Send sealed filled-up reference/background check form via postal service or via e-mail
HR Staff HRD Office, 8th floor
variable
End of Transaction
77
Other Services
Frontline Service : Out-Patient Pharmacy Dispensing ServicesClients : PatientsRequirements : Doctor's Prescription
For Senior Citizen: Senior Citizen's ID, Purchase Slip or Booklet, Prescription, Authorization Letter for Representatives
For PDAF holder : Prescription, Service Issue Slip (From Accounting Division)Schedule of Availability of Service: 7:00 a.m. to 7:00 p.m.
Monday-Saturday, except Sundays and Holidays. Contact Numbers : (+632) 925-2401 locals 5117,5118Fees : Applicable PriceTotal/Maximum Duration of Process: 18 minutesHow to Avail of the Service:
No. Client Step Agency Activity
Person Responsible
Location of Office Duration of Activity
1 Get number from the queuing machine
Out-Patient, Medical Arts Bldg., Annex Ground Flr.
1 minute
2 Present the necessary requirements to the assigned counter
Receive and process documents
Pharmacists Out-Patient Pharmacy, Medical Arts Bldg., Annex
Ground Flr.
10 minutes
3 Pay the amount due
Receive payment and issue Official Receipt.
Cashier/Pharmacist
Out-Patient Pharmacy, Medical Arts Bldg., Annex
Ground Flr.
5 minutes
4 Present copy of the Official Receipt or SIS at the Issuance/ Releasing Counter
Release medicine to patients
Pharmacist Out-Patient Pharmacy, Medical Arts Bldg., Annex
Ground Flr.
2 minutes
End of Transaction
78
Other Services
Frontline Service : Qualifying of Suppliers Clients : SuppliersRequirements : Complete company profileSchedule of Availability of Service: Mondays to Fridays, 8:00 am to 5:00 pmContact Numbers : (+632) 925-2401 locals 4066-4070Fees : None
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Submit the
requirementsReceive requirements and explain policiesRefers to designated end-user
Purchasing staff
Purchasing Office,
Basement, Medical Arts
Bldg.
5 minutes
2 Submit the sample/ demo products
Receive the product
Evaluate the samples -Food Stuff
-Medical Supplies
-Medicines
-Equipment
Designated end-user
Dietitian
Standards Committee
Chief, Pharmacist
Designated End-User
Respective office of end-
user
Division of Nutrition and
Dietetics Office,
Basement, MAB
Product Evaluator’s Office, 3rd
Flr., Hospital Bldg.
Pharmacy Division,
Basement, MAB
Respective office of end-
user
Respective
1 minute
variable
79
-Services Designated End-User
office of end-user
3 Follow-up result of evaluation
Inform clients of the result
If qualified: instruct the supplier to proceed to Bids and Awards Committee (BAC) Office
Purchasing Staff
Purchasing Office,
Basement, Medical Arts
Bldg.
1 minute
End of transaction
80
Other Services
Frontline Service : Bids and Awards Procedures and Activities Clients : Qualified SuppliersRequirements : Letter of intent
Department of Trade and Industry (DTI) Registration Mayor's Permit Bureau of Food and Drugs (BFAD) license (for
Medical supplies and Drugs) Tax Clearance Income Tax Returns (ITR) for the past 3 years Notarized list of completed and on-going private and/or
government projects for the past 3 years (at least 5 major)
Schedule of Availability of Service: 8:00 am to 5:00 pm, Mondays to FridaysContact Number : (+632) 925-2401 local 4059Total/ Maximum Duration of Process: 7 days, 8 hours and 19 minutes
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration of
Activity
1 Submit applicable requirements
Receive requirements, explain policies and advise to follow-up result after 2 working days
BAC Secretariat BAC Members
BAC Office,Basement
MAB
2 minute
s
2 Get order of payment of Terms of Reference (TOR)
Issue order of payment
BAC Secretariat BAC Office,Basement
MAB
2 minute
s
3 Get number from the queuing machine
Near Cashier's Office,
Basement, MAB4 Pay applicable
feesReceive payment and issue official receipt
Cashier Cashier's Office, Basement, MAB
5 minute
s5 Attend schedule
of pre-bidding conference
Discuss TOR with End-user and suppliers
BAC Members, BAC Technical Working
Group, COA representative, Transparency Accountability
Pacemaker room,
Basement,MAB
4 hours
81
Post security bondReceive payments
Networking (TAN), NAMFREL and
NGO's
CashierCashier's Office,
Basement,MAB
5 minute
s6 Submit bidding
documents, attend opening of Bids and announcement of winning bidders
Receive bidding documents, Conduct opening of bids and announce the winning bidder
BAC Members, BAC Technical Working
Group, COA representative, Transparency Accountability
Networking (TAN), NAMFREL and
NGO's
Pacemaker room,
Basement,MAB
4 hours
7 Post performance bond of winning bidders
Receive payment and issues official receipt
Validate bid documents submitted
Process Notice of Award (NOA) to winning bidder
Cashier
BAC MembersEnd-User
Cashier's Office, Basement, MAB
5 minute
s
3 days
8 Accept and sign NOA
Process NOA and contract within 2 days
Head Procuring Entity, Chief Accountant
BAC Office, Basement, MAB
2 days
9 Sign and gets copy of the contract
Release signed contract
Head Procuring Entity, Chief Accountant
Purchasing Office,
Basement, MAB
2 days
End of transaction
82
Other Services
Frontline Service : Issuance of Gate Pass for SuppliesClients : Suppliers and tenantsRequirements : Request for Gate Pass for supplies
Valid Identification Request for Gate Pass
Schedule of Availability of Service: Mondays to Fridays from 8:00 a.m. - 5:00 p.m.Contact Number : (+632) 9252401 locals 4081-4084
How to avail of the Service:NO
.Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration
of Activity
1 Present requirements
Process Gate Pass
Supervisor, Supply
Section / PSD Secretary
Supply Section, Basement, MAB
Bldg.
3 minutes
2 Sign and get a copy of Gate Pass
Approve and Issue Gate Pass
Division Chief / PSD Secretary
PSD Office, Basement, MAB
Bldg.
3 minutes
End of transaction
83
Other Services
Frontline Service : Receipt of Hospital/Office Equipment/Furniture/BooksClients : SupplierRequirements : Copy of approved Purchase Order(PO), Invoice, Warranty
Certificate and Equipment's Performance Test Schedule of Availability of Service: 8:00am-12:00 noon & 1:00pm-5:00pm
Mondays to Fridays (Saturdays, Sundays & Holidays if necessary)
Total/Maximum Duration of Process: 8 Working Days How to Avail of Services:No. Client Step Agency
ActivityPerson
ResponsibleLocation Duration
of Activity1. Submit
documents and make performance test (if applicable)
Check, inspect and receive delivered items
Schedule orientation with end-user
Storekeeper/Property
Custodian &Engineering Technician
Storekeeper/Property
Custodian
Property Sec.,
Basement, Medical
ArtsBuilding (MAB)
Property Sec.,
Basement, MAB
30 minutes
2. Orientation with end-user (if applicable)
Accompany theSupplier to the End-user's Unit/Area
Storekeeper/Property
Custodian &Engineering Technician
End-User's Unit/Area
30 minutes to 1 hour
End of transaction
84
Other Services
Frontline Service : Receiving Deliveries of SuppliesClients : PHC SuppliersRequirements : Purchase Orders, Invoice and/or Delivery ReceiptsSchedule of Availability of Service: Mondays to Fridays from 8:00 am - 5:00 pm
(except Wednesdays for Pharmaceuticals)Contact Number : (+632) 9252401 local 4081-4084Total/Maximum Duration of Process: 7 minutes (variable)
How to avail of the Service :No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Present
requirementsCheck completeness of documents
Property Custodian-in-
charge
Supply Section,
Basement, MAB Bldg.
3 minutes
2 Deliver items Check the items being delivered and supervise transport to storeroom
Property Custodian-in-
charge
Supply Section,
Basement, MAB Bldg.
3 minutes (variable)
3 Receive delivery receipt
Acknowledge delivery of goods
Property Custodian-in-
charge
Supply Section,
Basement, MAB Bldg.
2 minutes
End of Transaction
85
Other Services
Frontline Service : Purchase of Linen Items (beddings, binders, arm-sling, scrub suit, vest)
Clients : Patients/RelativesRequirements : Request Slip (Pay Patients) Linen Request Form (Service Patients)Schedule of Activity of Service: 7am – 11pm / Monday to Sunday, and HolidaysContact Numbers : (+632) 925-2401 locals 2502 to 2504Fees : Applicable Fees Total/Maximum Duration of Process: 13 minutes
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Present the
requirementsProcess registration
Linen Attendant
Linen Section Penthouse,
Hospital Bldg.
1 minute
2 Pay the Applicable Fees
Receive payments and issues official receipt
Cashier Cashier’s Office,
Basement, MAB Bldg.
10 minutes
3 Present copy of OPD Charge Slip and OR
Record OR number
Linen Attendant
Linen Section Penthouse,
Hospital Bldg.
1 minute
4 Claim issued items
Release items Linen Attendant
Linen Section Penthouse,
Hospital Bldg
1 minute
End of Transaction
86
Other Services
Frontline Service : Release of Patient’s Medical RecordsClients : Patients/relatives/Insurance agents/courtsRequirements : Request Form properly accomplished OPD/In-patient Card Valid ID with signature of patient &
representative Authorization Letter from the patient or the
next of kin Social Case Study Report or Adoption papers Marriage Contract –certified true copy Subpoena
Local and Foreign Letter of Request Schedule of Availability of Service : Monday to Friday
8:30am-5:00pm (no noon break) Contact Numbers : (+632) 925-2401 local 3618Fees : Applicable Fees Total/Maximum Duration of Process: For simple transaction ------- 1-5 working days: -Certificate of Confinement – Day 1 (13mins.) -Certified true copies of Clinical Abstracts, Diagnostic Test
Results, Operating Room Records, Anesthesia Records, Death Certificate – Day 1 (28 mins.)
-Medical Certificates, Clinical Abstracts, Insurance Forms -Subpoena addressed to Chief/Custodian/Medical
Records Officer – (2 days)
For simple transaction ------- 1-5 working days: -Certificate of Confinement – Day 1 (13mins.) -Certified true copies of Clinical Abstracts, Diagnostic Test
Results, Operating Room Records, Anesthesia Records, Death Certificate – Day 1 (28 mins.)
-Medical Certificates, Clinical Abstracts, Insurance Forms -Subpoena addressed to Chief/Custodian/Medical
Records Officer – (2 days) For complex transactions-----10 working days : Medical Certificates, Clinical Abstracts, Insurance Forms of
in-patients whose attending physicians are either visiting, out of thecountry or by appointment schedule, surgeons, anesthesiologists and fellows on duty.
Medico-legal and other special cases OPD cases of unreturned / unreceived patients charts
Approval from Attending physician, Office of Education, Training & Research &/or Director’s Office
87
HOW TO AVAIL OF THE SERVICE:
REQUEST FOR CERTIFICATE OF CONFINEMENT (for confined patients) *
No. Client Steps
Agency Activity
Person Responsibl
e
Location of Office
Duration of Activity
1 Fill out request form
Assist the patient/relative.
Medical Records Officer I
Medical Records, 6th Flr., Medical
Arts Bldg. (MAB)
2 minutes
2 Present the accomplished Request form and OPD Card or In-Patient Card.
Interview the patient/relative to check the legality & completeness of the accomplished Request Form
Medical Records Officer I
Medical Records, 6th
Flr., MAB
5 minutes
3 Wait for patient’s name to be called
Process the Certificate of Confinement
Clerk IV Medical Records, 6th
Flr., MAB
4 minutes
4 Receive the Certificate of Confinement
Release the signed Certificate of Confinement to patient’s authorized representative or Ward Clerk.
Medical Records Officer I
Medical Records, 6th
Flr., MAB
2 minutes
=13 minutesEnd of Transaction
88
REQUEST FOR PHOTOCOPIES OF CLINICAL ABSTRACTS, ER-SOAP, OPERATING ROOM RECORDS, ANESTHESIA REPORT, DEATH CERTIFICATES, DIAGNOSTIC TEST RESULTS
No. Client Steps Agency Activity
Person Responsible
Location of Office
Duration of Activity
1 Fill-out request form
Assist the patient/relative.
Medical Records Officer I
Medical Records, 6th Flr., Medical
Arts Bldg. (MAB)
2 minutes
2 Present the accomplished Request form and OPD Card or In-Patient Card.
Interview the patient/relative to check the legality and completeness of the accomplished Request Form. Explains fees.
Medical Records Officer I
Medical Records, 6th
Flr., MAB
5 minutes
3 Wait for patient’s name to be called.
If with proper authorization,retrieve the chart and prepare the documents to be photocopied
Clerk IIIProject Aide
Medical Records, 6th
Flr., MAB
13 minutes
4 Pay the photocopying fee and signs on MR Income logbook.
Receive and record the Payment on MR Income logbook
AuxiliaryMachine
Operator I
Medical Records, 6th
Flr., MAB
6 minutes
5 Receive requested documents
Record & release all the authenticated medical records. Ask
Medical RecordsOfficer I
Medical Records, 6th
Flr., MAB
2 minutes
89
REQUEST FOR MEDICAL CERTIFICATE, CLINICAL ABSTRACT & FILLING UP OF INSURANCE FORMS, ETC.
No. Client Steps Agency Activity
Person Responsible
Location of Office
Duration of Activity
1 Fill-out request form
Assist the patient/relative.
Medical Records Officer I
Medical Records, 6th Flr., Medical
arts Bldg. (MAB)
DAY 12 minutes
2 Present the accomplished Request form and OPD Card or In-Patient Card.
Interview the patient /relative to check the legality and completeness of the accomplished Request Form.Explain processing time & fees.
Medical Records Officer I
Medical Records, 6th
Flr., MAB
2 minutes
3 Accept the Claim Slip.
Issue a Claim Slip to patient /relative and advises to bring a letter of authorization & other requirements and when to call.
Medical Records Officer I
Medical Records, 6th
Flr., MAB
2 minutes
4 Follow-up request / call 925-24-01 loc.3618
Retrieve the chart .and process the requested documents
Clerk III /Project Aide
Medical Records, 6th
Flr., MAB
DAY 2 to 4
5 Present claim slip at MRD Counter.
Check & pulls out the requested document/s
Clerk III /Medical Records Officer I
Medical Records, 6th
Flr., MAB
1 minute
6 Wait for patient’s name to be called.
Photocopy, authenticate the medical
Auxiliary Machine
Operator I/
Medical Records, 6th
Flr., MAB
3 minutes
91
records and issue order of payment
Medical Records Officer I
7 Pay applicable fees:For Health Information for Insurance purposes-- pay at the Cashier-Basement (Hospital Bldg.)
For Medical Certificate, Clinical Abstract, xerox & authentication, ---pay at Medical Records Div. & sign on MR Income logbook.
receive payment & issue Official Receipt
Receive and record the Payment on MR Income logbook.
Cashier
AuxiliaryMachine
Operator I
CashierBasement
Hospital Bldg.
Medical Records, 6th
Flr., MAB
2 minutes
8 Submit the Official Receipt and receive the requested documents.
Accept the Official Receipt or signed Order for payment form and release the requested document.
Medical RecordsOfficer I
MedicalRecords,
6th flr., MAB
DAY 5
Day of Claiming
1 minute
End of Transaction
92
RECORDS SUBPOENAED BY COURTNo. Client Steps Agency
ActivityPerson
Responsible
Location of Office
Duration of Activity
1 Present subpoena.
Accept and process re-quired docu-ments.
Day 1
2 minutes
2 Receive the document
Bring to court the subpoenaed medical record.
MRLD Chief,MedicalRecordsOfficer III
or Officer I
Court Day of court hear-
ing
End of Transaction
93
TRAININGS AND PROGRAMS
Frontline Service : Application for Residency, Fellowship and Sub-Specialty Fellowship
Clients : Medical DoctorsRequirements : Medical Diploma
Transcript of Records with general average Board Rating 3 letters of recommendation 4 pieces 2x2 picture colored Certificate of Residency (2 years) –for Fellowship
and Sub-Specialty applicants Certificate of Fellowship (3years) –for
Sub-Specialty applicants Specialty Board Certificate Research Protocol for Sub-Specialty applicants Application Form (from DETR Office)
Schedule of Availability of Service: Monday -Friday, 8:00am- 5:00pmContact numbers : (+632) 925-24-01 local 3234 to 3236Fees : Applicable feesTotal / Maximum Duration of Process: 30 minutesRelease of Result : After one week
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of Office
Duration of Activity
1. Submit requirements
Receive, check and review requirements
Issue request slip
Instruct to proceed at the cashier’s office
DETR Staff DETR 2nd
fl r MAB7 minutes
2 Get number from queuing machine
Cashier Section,
Basement Hospital
3 Pay applicable fees
Receive payment and issue official receipt
Cashier Staff Cashier Section,
Basement Hospital
10 minutes
4. Present official receipt
Check the official receipt Issue information
DETR Staff DETR 2nd
fl MAB2 minutes
94
sheet5 Fill out
information sheet
Advise date of written examination
DETR Staff DETR 2nd
fl MAB 3 minutes
7. Report for interview and examination
Conduct qualifying examination, psycho test and interview
DETR Staff & HRD Staff
DETR 2nd
fl MAB & HRD 8th
fl MAB
3 minutes
8. Wait for the result of examination
Release result of examinationAdvise to complete final requirements
DETR Staff DETR 2nd
fl MAB5 minutes
End of Transaction
95
TRAININGS AND PROGRAMS
Frontline Service : Processing of Student Internship and Trainees Clients : StudentsRequirements : Recommendation letter from the
Dean of the school, 2 pictures (1x1)
Schedule of Availability of Service: Monday-Friday, 8:00am -5:00 pmContact Numbers : (+632) 925-24-01 to 50 local 3815/3816Fees : P1.00 for every hour of service renderedTotal/Maximum Duration of Process: 2 days and 33 minutes
How to Avail of the Service:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration of
Activity1 Inquire in person
or over the phone the availability of slot
Inform the availability of slot
HR Staff HRD Office, 8th
floor, Medical Arts Bldg.
3 minutes
2 Fill out Personal History Statement and submit the requirements
Receive requirements and refer to the concerned Division/ Office for approval
HR Staff
Division Chief
Assistant Director
HRD Office, 8th
floor
Concerned office
10 minutes
1 day
1 day3 If approved, apply
for Identification Card and reports to the assigned unit
Prepares, issue ID and endorse to assigned office
HR Staff HRD Office, 8th
floor10 minutes
4 After completion of required training, secure payment slip and pay the applicable fees
Process and issue Certificate of completion
HR Staff
Cashier
HRD office, 8th
floor, Medical Arts Bldg.Cashier’s
Office, Basement,
Medical Arts Bldg.
10 minutes
End of Transaction
96
TRAININGS AND PROGRAMS
Frontline Service : Pre-Qualifying Examination and Interview for Critical Care Course
Clients : Training applicantsRequirements : PRC license and Official receipt of paymentSchedule of Availability of Service : As scheduledContact Number : (+632) 925 2401 locals 3209 to 3210Fees : Applicable feesTotal/Maximum Duration of Process: 2 hours and 13 minutes
How to Avail of the Service:No. Client Step Agency activity Person
ResponsibleLocation of Office
Duration of Activity
1 Present Requirements and sign attendance sheet
Check requirements
Program Coordinator/
Clinical Instructor
Division of Nursing
Education &
Research (DNER), 2nd Floor
MAB
2 minutes
2 Take the examination
Give instructions in taking the examination
Program Coordinator/
Clinical Instructor
Executive Conference Room, 2nd Floor
MAB
2 hours
3 Prepare for the interview and receive final instructions
Interview the applicant and give final instructions
Program Coordinator/
Clinical Instructor
DNER 10 minutes
End of Transaction
97
TRAININGS AND PROGRAMS
Frontline Service : Process of screening for the Critical Care Course Clients : Training applicantsRequirements : Transcript of records, Board rating, Board
certificate, PRC license, General Weighted Average, Certificate of employment, Membership card from any accredited nursing organization and 1 pc (2x2) Picture
Schedule of Availability of Service : Please see schedule on-line: www.phc.gov.ph
Contact Number : (+632) 925 2401 locals 3209-3210Fees : Applicable feesTotal/Maximum Duration of Process: 20 minutesHow to Avail of the Service:
No. Client Step Agency activity
Person Responsible
Location of Office
Duration of Activity
1 Submit complete requirements and fill-out Information Sheet
Process application and issue notice of payment
Instruct to pay
Clinical Instructor/ Division
Secretary
Division of Nursing Educ.
& Research, 2nd
Flr, MAB
Cashier’s Office
10 minutes
2 Get number from queuing machine
Near Cashier, Basement,
MAB3 Pay the
examination fee
Issue official receipt
Cashier’s clerk Cashier’s office,
Basement, MAB
5 minutes
4 Present official receipt and get instructions
Record official receipt and give instructions
Clinical Instructor/ Division
Secretary
DNER 5 minutes
End of Transaction
98
TRAININGS AND PROGRAMS
Frontline Service : Payment for Critical Care Course Clients : Training applicantsRequirements : passed screening examination and interviewSchedule of Availability of Service : 8:00am to 5:00pm,
Monday to FridayContact number : (+632) 925-240 locals 3209 to 3210Fees : Applicable feesTotal/Maximum Duration of Process: 12 minutes
How to Avail of the Service:No. Client Step Agency
activityPerson
ResponsibleLocation of
OfficeDuration
of Activity1 Call up the
office for the result
If successful, gets notice of payment
Confirm results
Issue notice of payment and instruct to pay
Program Coordinator/
Clinical Instructor/ Division
secretary
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
1 minute
1 minute
2 Get number from the queuing machine
Near Cashier’s office,
Basement, MAB
3 Pay applicable fees
Receive payment and issue official receipt
Cashier’s clerk Cashier’s office,
Basement, MAB
5 minutes
4 Present official receipt and receiveinstruction
Record the official receipt and give instruction
Program Coordinator/
Clinical Instructor/
Division clerk
DNER 5 minutes
End of Transaction
99
TRAININGS AND PROGRAMS
Frontline Service : People’s DayClients : Any personRequirements : No food intake after 9pmSchedule of Availability of Service : Every 3rd Wednesday
of the monthContact Number : (+632) 9252401 locals 3209, 3210Fees : FreeTotal/Maximum Duration of Process: 95 minutes
How to Avail of the Service:No. Client Step Agency
activityPerson
ResponsibleLocation of Office
Duration of Activity
1 Proceed to Dr. Avenilo P. Aventura Hall (DAPA)
(Clients will be served according to seat number)
Give orientation to the attendees
Issue information sheet for fill-out
Chief, Division of
Nursing Education &
Research
Coordinator
Dr. Avenilo P.
Aventura Hall
(DAPA), Ground
Flr., MAB
10 minutes
2 Fill-out the information sheet
Assist in filling-out the information sheet
Chief, Division of
Nursing Education &
Research
DAPA Hall 5 minutes
3 Attend the lecture
Provide lecture for the attendees
Physician/Nutritionist/
Non-paramedical
person
DAPA Hall 15 minutes
4 Proceed to applicable stations and submit for procedures:-vital signs-Weight taking-FBS and cholesterol-Consultation-ECG-Preventive
Perform applicable tests and procedures
Advise patient
People’s Day Team
DAPA Hall 60 minutes
100
Medicine to go back to the consultation station for interpretation of results
5 Take final instructions.
Record final diagnosis and discharge client
Coordinator/Clinical
Instructor/ Volunteer
DAPA Hall 5 minute
End of Transaction
101
TRAININGS AND PROGRAMS
Frontline Service : Hospital-Guided TourClients : Nursing colleges/universitiesRequirements : Application letterSchedule of Availability of Service : Contact number : (+632) 925-240 locals 3209 to 3210Fees : FreeTotal/Maximum Duration of Process: 55 minutes
How to Avail of the Service:No. Client Step Agency activity Person
ResponsibleLocation of
OfficeDuration
of Activity
1 Send letter of request to the Hospital Director/Asst. Director for Nursing Services
Receive the letter request for approval and forward it to the Division of Nursing Education & Research (DNER)
Executive Secretary
Director’s Office/ Nursing Service Office
2 minutes
2 Call DNER office to follow-up schedule of tour
Schedule school for hospital tour and give the procedural guidelines through email or fax
Chief, Division of Nursing
Education & Research/ Secretary
DNER, 2nd Floor MAB
3 minutes
3 Attend hospital orientation (as scheduled)
Give orientation and video presentation
Clinical Instructor DNER, 2nd Floor MAB
20 minutes
4 Proceed with hospital tour
Accompany the students in the hospital tour
Assigned Ward clerk
Hospital Building
30 minutes
End of Transaction
102
TRAININGS AND PROGRAMS
Frontline Service : Student's Hospital AffiliationClients : Nursing colleges/universitiesRequirements : Application letterSchedule of Availability of Service : Contact number : (+632) 925-240 locals 3209 to 3210Fees : P120.00/40 hours/paxTotal/Maximum Duration of Process: 25 minutes
How to Avail of the Service:No Client Step Agency activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Send letter of
request to the Hospital Director
Receive the letter request and forward it to the Asst. Director for Nursing Service
Executive Secretary
Director’s Office/ Nursing Service Office
2 minutes
2 Await notification from the Nursing Service Office
Check and approves letter request and forward it to the Chief, DNER office
Asst. Director for Nursing Services
Nursing Service
Office (NSO), 2nd floor MAB
5 minutes
3 If approved, follow-up availability of schedule
Check availability of schedule.
Division Chief, Nursing
Education & Research
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
3 minutes
4 Make a Memorandum of Aggreement (MOA) between the requesting school and the Philippine Heart Center & furnish one copy to the Department of Health
Receive the MOA and forward it to the Nursing Service Office/ Division of Nursing Education & Research
Hospital Director and Asst.
Director for Nursing Service/
Division Chief
Director's office/
Nursing Service Office/
DNER, 2nd
Floor MAB
5 minutes
5 Pay the affiliation fee
Present the
Receive payment and issues official receipt
Copy the official
Clerk
Executive
Cashier's office,
Basement area MAB
DNER
5 minutes
5 minutes
103
official receipt receipt number and give instructions
Secretary
6 Attend scheduled affiliation
Give orientation and procedure guidelines
Clinical Instructor/
Faculty member
DNER 7:00am – 3:00 pm Monday-
FridayEnd of Transaction
104
TRAININGS AND PROGRAMS
Frontline Service : Process Application for Intravenous Therapy Update
Clients : Registered Nurses/ Nursing studentsRequirements : Any valid identification cardSchedule of Availability of Service : Contact number : (+632) 925-240 locals 3209 to 3210Fees : P500.00Total/Maximum Duration of Process: 190 minutes
How to Avail of the Service:No Client Step Agency activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Go online for
pre-enlistment procedure through PHC website (www.phc.gov.ph)
Check available slots through the website
Executive Secretary
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
3 minutes
2 Print the confirmation letter and pay the registration fees
Receive the payment & issues official receipt
Clerk Cashier's Office,
Basement area MAB
5 minutes
3 Go to DNER office and present the official receipt
Copy the official receipt number and enlist the participant
Executive Secretary
DNER, 2nd Floor MAB
2 minutes
4 Attend the schedulled update
Check the participant's name on the master list and give handouts.
Update coordinator/
Clinical Instructor
Dr. Avenilo P. Aventura Hall, Ground Floor
MAB
180 minutes
End of Transaction
105
TRAININGS AND PROGRAMS
Frontline Service : Process Application for Intravenous Therapy Training Program
Clients : Registered NursesRequirements : PRC licenseSchedule of Availability of Service : Contact number : (+632) 925-240 locals 3209 to 3210Fees : P 2,000.00Total/Maximum Duration of Process: How to Avail of the Service:
No Client Step Agency activity Person Responsible
Location ofOffice
Duration of Activity
1 Go online for pre-enlistment procedure through PHC website (www.phc.gov.ph)
Check available slots through the website
Executive Secretary
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
2 minutes
2 Print the confirmation letter and go to DNER office
Check the validity of the PRC license and issue notice of payment
Executive secretary
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
3 minutes
3 Pay the registration fee
Receive payment and issue official receipt
Clerk Cashier's office, Basement area,
MAB
5 minutes
4 Present the offcial receipt and purchase the IV manual
Copy the official receipt number, issue manual and give instructions.
Program Coordinator/
Executive Secretary
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
5 minutes
5 Attend the schedulled training program
Check the official receipt and PRC license
Program Coordinator/
Clinical Instructor
DAPA Hall 3 days (7:00am - 4:00pm)
End of Transaction
106
TRAININGS AND PROGRAMS
Frontline Service : Process Application for Intravenous Therapy Training Program
Clients : Registered NursesRequirements : PRC licenseSchedule of Availability of Service: Fees : P 2,000.00Total/Maximum Duration of Process:
How to Avail of the Service:No Client Step Agency activity Person
ResponsibleLocation of
OfficeDuration of
Activity1 Go online for pre-
enlistment procedure through PHC website (www.phc.gov.ph)
Checks available slots through the website
Executive Secretary
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
2 minutes
2 Print the confirmation letter and go to DNER office
Check the validity of the PRC license and issue notice of payment
Executive secretary
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
3 minutes
3 Pay the registration fee
Receive payment and issue official receipt
Clerk Cashier's office,
Basement area, MAB
5 minutes
4 Present the offcial receipt and purchase the IV manual
Copy the official receipt number, issue manual and gives instructions.
Program Coordinator/
Executive Secretary
Division of Nursing
Education & Research
(DNER), 2nd
Floor MAB
5 minutes
5 Attend the scheduled training program
Check the official receipt and PRC license
Program Coordinator/
Clinical Instructor
DAPA Hall 3 days (7:00am - 4:00pm)
End of Transaction
TRAININGS AND PROGRAMS
107
Frontline Service : Consultation of Patients Under Community Health Development
Clients : Patients with High Blood Pressure, Diabetes, High Blood Cholesterol and Other
Cardiovascular Risk FactorsRequirements : Referrals from Peoples Day, OPD, HPN Clinic,
CommunitySchedule of Availability of Service: Tuesdays and Thursdays,
8:00am–12:00 NNContact Number : (+632) 925-2401 locals 5135-5136Fees : NoneTotal Duration of Process: 40 minutes
How to Avail of the Services:No. Client Step Agency
ActivityPerson
ResponsibleLocation of
OfficeDuration
of Activity1 Register in the
attendance sheet
Prepare initial/follow-up form, diagnostic results form
Research Specialist
Preventive Cardiology Division, 8th
Flr. Medical Arts Building
(MAB),Reception
Area
5 minute
2 Wait for your number to be called for an-thropometric/ laboratory ex-aminations
Do the Patient’s Anthropo-Metric/ laboratory examinations
Do the health education of patients
OIC, Sr.Science Re-search Spe-
cialist
Research Specialist
Preventive Cardiology Division, 8th
Flr., MAB,Laboratory
Room
15 minutes
3 Wait for your number to be called for medical consultation.
Medical examination andmanagement of patient.
PHC 2nd
year FellowPreventive Cardiology Division, 8th
Flr., MAB,Doctor’s
Examination Room
15 minutes
4 Listen for final instructions.
Give exit interview – reinforces/clarify
ResearchSpecialist
Preventive Cardiology Division, 8th
Flr., MAB,
5 minutes
108
doctor’s advice.
Schedulepatient for next follow-up.
Reception Area
End of Transaction
TRAININGS AND PROGRAMS
109
Frontline Service : Heart Volunteers ProgramClients : Out of School youth, at least High School
graduate, undergraduate/graduate of any course
Requirements : Diploma of highest educational attainment or Transcript of records, 2 (1X1 picture)
Schedule of Availability of Service: Monday – Friday, 8:00 – 5:00 pmContact Numbers : (+632)925-24-01 to 50 local 3815/3816Fees : noneTotal/Maximum Duration of Process: 2 days 6 hours and 10 minutes
How to Avail of the Service:No. Client Step Agency Activity Person
ResponsibleLocation of
OfficeDuration of
Activity
1 Get and Fill out Personal History Statements (PHS)
Process the application and schedule orientation
HR Staff HRD Office, 8th
floor, Medical Arts Bldg.
5 minutes
2 Attend the orientation
Conduct orientation
HR Staff HRD Office, 8th
floor, Medical Arts Bldg.
3 hours
3 Report to the assigned units
Endorse/Introduce to the supervisor and staff
HR Staff Concerned office
5 minutes
4 Submit DTR every 15th and 30th of the month and claim allowance
Process and issue allowance
HR Staff
Cashier Staff
HRD Office, 8th
floor, Medical Arts Bldg.,
Cashier’s Office,
Basement, Medical Arts
Bldg.
2 days
5 Attend graduation Prepare and issue Certificate of Completion
HR Staff HRD Office, 8th
floor, Medical Arts Bldg.
3 hours
End of Transaction
110
CLIENT FEEDBACK MECHANISM
Information gathered from feedback of our clients, whether positive or negative, will assist us in further improving our systems and procedures. We ask our clients to be generous in giving us feedback so we can satisfy their requirements and expectations. Please feel free to avail of the following feedback mechanism:
1. Public Assistance Office – attends to client’s immediate concerns, located at the Hospital Lobby, available from 8:00 am to 5:00 pm, Monday to Sunday.
2. Quality Assurance Office – attends to client’s complaints, located at the Management Service Office, 2nd Floor, Medical Arts Building, available from 8:00 am to 5:00 pm, Monday to Friday.
3. Suggestion Drop Box – You may drop your feedback letter at the drop boxes located at designated place.
4. PRAISE Committee – You may send your letter of commendation to the Chairperson of PRAISE Committee
5. Integrity Development Committee (IDC) – You may send your letter of feedback regarding the Integrity of our staff to the Chairperson, Integrity Development Committee.
6. Citizen’s Charter Team – You may send your letter of feedback regarding systems and procedures of our services to the Team Leader, Citizen’s Charter Team.
7. Patient’s Satisfaction Survey (sample copy on the next page) – A survey form is distributed to the patient’s room and to be filled-out by the patient or relative and collected for evaluation and necessary action.
111
CLIENT FEEDBACK MECHANISM Patient Satisfaction Survey
PHILIPPINE HEART CENTER
Our Mission
“Driven by our shared desire to improve the health status of the Filipino people,
we, the Philippine Heart Center, shall provide comprehensive cardiovascular care
enhanced by education and research that is accessible to all.”
Patient Satisfaction Survey
Center for Excellence in Cardiovascular Care
112
CLIENT FEEDBACK MECHANISM Patient Satisfaction Survey (Page 2)
We are committed yo provide you with the best possible care during your stay. You are important to us. Please help us serve you better by giving us your feedback on our services and facilities. Kindly check the box that best describes your experience.
Manuel T. Chua Chiaco, Jr., MDExecutive Director
Check the appropriate answer. (Markahan ang akmang kasagutan)
SP Surprised S Satisfied(Lubusang nasiyahan sa (Nasiyahan sa serbisyong serbisyong natanggap) natanggap)
D Dissatisfied DP Disappointed(Hindi nasiyahan sa serbisyong (Lubusang hindi nasiyahan sa natanggap) serbisyong natanggap)
QUALITY OF SERVICES RENDERED
Personal Manner (courtesy,respect, sensitivity,friendliness) 1. Security Personnel2. Social Service Staff3. Nurses / Nursing AidesProfessionalism and helpfulness4. Admitting Staff5. Billing Staff6. Cashiers7. Dietary Staff8. Pharmacy Staff9. Medical RecordsTechnical skills (thoroughness, carefulness, competence)10. Laboratory Staff11. Other Medical Technicians12. Housekeeping Staff13. Maintenance CrewExpertise (provided adequate time, timely care and education valuable to improving my health)14. Nurses15. Doctors
113
SP S D DP NA
CLIENT FEEDBACK MECHANISM Patient Satisfaction Survey (Page 3)
QUALITY OF FACILITIES(Comfort, cleanliness, amenities) 1. Patient’s Room2. Waiting Areas3. Public Restrooms4. Diagnostic Units5. Cafeteria6. Food Outlets
Would you return for further care? YES NO1. In our hospital2. In our Diagnostic / Laboratory Centers3. With your present Doctor
Did any specific staff member stand out?If yes, who and why?
Please tell us what else we could have done to take better care of you.
Please tell us what you liked best about the care you received at the Philippine Heart Center.
QA Form Version-5 December 2010
CLIENT FEEDBACK MECHANISM Patient Satisfaction Survey (Page 4)
114
SP S D DP NA
Our Patient Complaint Policy provides you with a mechanism to voice out your concerns regarding patient care and safety. All concerns are given the utmost attention and courtesy.
If you have concerns about your are or treatment, please let us know. We will be glad to address your concerns the soonest tme possible. Please allow us to get in touch with you by completing the information below.
Date Completed Room Number
Name of Patient
The respondent is the : Patient Patient's Companion
Contact DetailsTelephone / Mobile:Email Address :
Thank you for your valuable time and the opportunity to serve you better.
QUALITY ASSURANCEPHILIPPINE HEART CENTER
East Avenue, Quezon CityTelephone Number 9252401 local 3217
http://[email protected]
115
ACKNOWLEDGEMENT This is to acknowledge the contribution of the following Philippine Heart Center officers and personnel in the development of this Citizen's Charter: EXECUTIVE COMMITTEE MEMBERS Manuel T. Chua Chiaco, Jr. M.D. - Executive Director Gerardo S. Manzo, M.D. - Assistant Director, Medical Services Maria Linda G. Buhat, RN, Ed.D. - Assistant Director, Nursing Services Maria Jacinta Victoria T. Lualhati, Ph.D - Assistant Director, Administrative Services CITIZEN'S CHARTER TEAM Ms. Emilia P. Olbes - Team Leader Ms. Mercy R. De Jesus - Sub-Comm. Head for Admin. Services Ms. Ma. Flordeliza M. Sanchez - Sub-Comm. Head for Medical Services
MEMBERS Mr. Elmer Benedict E. Collong Mr. Jesus Ferdinand B. Peralta Ms. Florence G. Desuyo Ms. Ma. Nerissa A. Remojo Archt. Amado A. Europa, Jr. Ms. Mary April Dwan G. Gatdula Ms. Corazon Lynn O. Irinco
TECHNICAL WORKING GROUP Medical Services: Administrative Services: Mr. Nilo O. Buhayan Engr. Jose A. Barsaga, Jr. Mr. Easy Brian Y. Cardenas Ms. Dolores D. Calvarido Ms. Judy M. Dy Ms. Aida L. Catalig Mr. Nilo M. Villanueva Ms. Margaret Rose R. Clavejo Ms. Maria Concepcion B. Fajardo Ms. Ma. Teresa G. Estrera Ms. Ma. Lourdes A. Gapas Ms. Olive T. Gimenez Mr. Rex B. Garde Ms. Marivic S. Gonzales Mr. Eric E. Mazo Ms. Noemi S. Hernandez Ms. Gina O. Mission Ms. Lorida D. Macaraan Mr. Mark Anthony P. Panergo Ms. Grace G. Yra Mr. Cromwell A. Reyes Mr. Jerome T. Mamaril Ms. Celia C. Segovia Ms. Angelita G. Novela Ms. Elvira R. Torres Ms. Jean A. Samonte Ms. Deodora J. Tuzara Ms. Bibiana A. Solis
Ms. Grace G. Yra Nursing Services: Ms. Sandra S. Aquino Ms. Zenaida S. Josue Mr. Brian Jess L. Cipriano Ms. Mary Grace A. Kayanan Ms. Olivia M. Dela Cruz Mr. Roel R. Malemit Ms. Jocelyn D. Fortin Ms. Joyette Ann F. Mindoro Ms. Maria Lilibeth Q. Icasiano Ms. Girlie Jenine M. Tugab
ROOM UNIT NOS. OCCUPANCY AMOUNT
1. Short Stay Unit 101-105 Single P 3,900.00106 Double 2,500.00108 Double/Double 2,500.00110 Double 2,500.00
Chemo Room 107 Quadruple 900.00 (first 3 hours)250/hr.(in excess of 3 hrs.)
Emergency Isolation Room Single 6,000.002. 1-B 112-119, 122-125 Single 3,900.00
120-121 Double 2,500.003. SICU 1 203-211 Single 6,500.00
201,202 Double 5,000.00SICU 2 229-231 Double 5,625.00
232 6 beds 5,625.00233-236 Single 7,150.00
4. CCU 215-222, 225-228 Single 6,500.00223 & 224 Double 5,000.00
5. 3-A 300-314 Single 3,900.006. 3-B 315-328 Single 3,900.007. 3-C (Pedia Main) 330-332, 335-338 Single 3,900.00
329 Double 2,500.00333-334 Triple 1,920.00
339 Single 3,900.00340 Single 3,900.00
8. 3-D 341 Isolation 5,200.00342 & 346 Double 2,500.00343 & 345 Triple 1,920.00
344,346-349 Quadruple 1,680.009. 3-E 350-353 Double/Double 2,500.00
354 Double 2,500.00355 Double/Double 2,500.00356 Double 2,500.00357 Double/Double 2,500.00
10. 3-F 358-364 Double/Double 2,500.0011. PICU Ward-11 beds 3,750.0012. Adult Service Ward 30 Beds 1,560.0013. Adult Payward 19 Beds 1,560.0014. 4-A 400-401* Single 7,150.00
400-401* Double 4,500.00402,405-407* Single 5,200.00402,405-407* Double 3,900.00
403 & 404 Single 5,200.0015. 4-B 408-416, 419-422 Private Single 3,900.00
417 & 418 Corner Single 5,200.0016. MICU 1 (former 4C) 423, 427, 428, 432 Double 5,625.00
424-425,429-431,434-436 Single 7,150.00
PHILIPPINE HEART CENTERHOSPITAL ROOM RATES
August 1, 2014
3
ROOM UNIT NOS. OCCUPANCY AMOUNT
PHILIPPINE HEART CENTERHOSPITAL ROOM RATES
August 1, 2014
426 (heal well) Single 7,150.00433 (iso rm) Single 7,800.00
17. 4-D 437-446 Triple 1,920.00447 Quadruple 1,680.00
18. Neurological Unit 8 beds 3,750.0019. Presidential Suite 35,000.00
* convertible to double occupancy Retained rooms shall be charged accordingly.
3
1. Cardioversion1.1 with Defibrillator Pads 15,000 17,250 19,500 21,7501.2 with Paddles 7,000 8,050 9,100 10,150
2. Electrophysiologic Studies 2.1 SA & AV 50,000 57,500 65,000 72,500 2.2 SA, AV & VT 58,000 66,700 75,400 84,100 2.3 SA, AV, PSVT & VT 59,000 67,850 76,700 85,550
3. Head-up Tilt Test 8,500 9,775 11,050 12,3254. Pacemaker Analysis 800 920 1,040 1,1605. Radiofrequency Ablation 108,000 124,200 140,400 156,6006. Removal of Temporary Pacemaker 4,000 4,600 5,200 5,8007. Repositioning of Temporary Pacemaker 22,000 25,300 28,600 31,9008. Temporary Pacemaker Insertion 29,000 33,350 37,700 42,0509. Use of Pulse Generator (per day) 1,745 2,005 2,270 2,53010. Reinsertion of Pacemaker 24,000 27,600 31,200 34,800
Note: The following are not included:1. Doctor's Professional Fee2. CV Lab3. Room Rate4. Laboratory
Patients in Suite RoomsPROCEDURE/ITEMS
PHILIPPINE HEART CENTERELECTROPHYSIOLOGY SECTION
RATES - AUGUST 1, 2014
Patients in Semi-Private Rooms
including Semi-Private Rooms in
SICU/MICU/CCU/PICU/NICU Isolation
Rooms
Patients in OPD, Emergency Room (ER), Service and
Pay Wards
Patients in Private Rooms including Private
Rooms in SICU/MICU/CCU/ PICU
Patients in OPD, Semi Private Rooms Private Rooms/
Emergency ncluding Semi-Private Private Rooms Suite
PROCEDURE Room, Service Rooms,SICU/MICU/ In SICU/MICU/ Rooms
And Pay Wards CCU/PICU/NICU CCU/PICU
Isolation Rooms
1 4 Vessel Angiogram 10,600 12,200 13,780 15,3702 ACT Determination 600 700 780 8703 Aortography 10,600 12,190 13,780 15,3704 ASD Closure with Hemodynamic Studies 22,600 25,990 29,380 32,7705 BAS + HS 18,750 21,565 24,375 27,1856 Coronary Angiography 10,830 12,455 14,080 15,7057 Coronary Angiography + Aortography 14,180 16,305 18,435 20,5608 Coronary Angiography + IABI 14,000 16,100 18,200 20,3009 Coronary Angiography + HS 19,450 22,370 25,285 28,200
10 CA + PTCA + Stent 42,730 49,140 55,550 61,96011 CA + PTCA + Stent + IABI 48,335 55,585 62,835 70,08512 CA + 4VA 14,180 16,305 18,435 20,56013 Carotid Angiogram 8,200 9,430 10,660 11,89014 Carotid Stenting 32,100 36,915 41,730 46,54515 Coil Embolization 10,300 11,845 13,390 14,93516 Femoral Angiogram 10,600 12,190 13,780 15,37017 Hemodynamic Studies Plain 18,750 21,565 24,375 27,18518 Hemodynamic Studies with O2 Challenge 22,600 25,990 29,380 32,77019 IVC Filter Insertion 8,200 9,430 10,660 11,89020 PDA Closure with HS 22,600 25,990 29,380 32,77021 Pericardiocentesis 10,850 12,480 14,105 15,73022 Post Bypass CA 13,000 14,950 16,900 18,85023 PPBV with HS 22,550 25,935 29,315 32,69524 PTBD 10,000 11,500 13,000 14,50025 PTBD Drainage 5,950 6,845 7,735 8,62526 PTCA + Stent 32,100 36,915 41,730 46,54527 PTCRA 23,425 26,940 30,455 33,96528 PTMC w/ HS 22,600 25,990 29,380 32,77029 Renal Stenting 22,400 25,760 29,120 32,48030 SGI 10,350 11,905 13,455 15,00531 TPI 10,350 11,905 13,455 15,00532 IABI 10,350 11,905 13,455 15,00533 Use of IABP per hour 500 575 650 72534 VSD Closure w/ HS 22,600 25,990 29,380 32,77035 Percutaneous ASD/VSD/PDA 22,600 25,990 29,380 32,77036 Venogram 10,600 12,190 13,780 15,370
PHILIPPINE HEART CENTERINVASIVE CARDIOLOGY
BASIC LAB RATES*RATES – AUGUST 14, 2014
*Excluding materials and medicines needed for each procedure, professional fee and use of machine
PROCEDURE
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
1 ECG1.1 Station 460 90 550 530 100 630 600 115 715 665 125 7901.2 Bedside 550 100 650 635 115 750 715 130 845 800 145 945
2 24-Hr Holter Monitor2.1 Station 3,475 625 4,100 3,995 720 4,715 4,520 810 5,330 5,040 890 5,9302.2 Bedside 4,170 750 4,920 4,800 860 5,660 5,420 975 6,395 6,045 1,070 7,1152.3 Per Additional 24 hrs. 3,300 590 3,890 3,795 680 4,475 4,290 765 5,055 4,785 840 5,6252.4 Holter Scan 890 890 1,025 1,025 1,155 1,155 1,290 1,290
3 Echocardiography3.1 2D Echo plain, station 2,610 470 3,080 3,000 540 3,540 3,395 610 4,005 3,785 670 4,4553.2 2D Echo with contrast 3,280 590 3,870 3,770 680 4,450 4,265 765 5,030 4,755 840 5,5953.3 2D Echo plain, bedside 3,130 560 3,690 3,600 645 4,245 4,070 725 4,795 4,540 800 5,3403.4 2D Echo with contrast bedside 3,940 700 4,640 4,530 800 5,330 5,120 910 6,030 5,715 1,000 6,7153.5 2D Echo Doppler, Station 3,580 640 4,220 4,115 735 4,850 4,655 830 5,485 5,190 915 6,1053.6 2D Echo Doppler, bedside 4,300 860 5,160 4,945 990 5,935 5,590 1,115 6,705 6,235 1,225 7,4603.7 2D Echo Doppler with Contrast 4,250 765 5,015 4,890 880 5,770 5,525 995 6,520 6,165 1,095 7,2603.8 2D Echo Doppler Contrast Bedside 5,015 900 5,915 5,765 1,035 6,800 6,520 1,170 7,690 7,270 1,290 8,5603.9 Conrast Study Only 1,000 120 1,120 1,150 135 1,285 1,300 155 1,455 1,450 170 1,6203.10 Doppler Only 2,320 420 2,740 2,670 480 3,150 3,015 545 3,560 3,365 600 3,9653.11 Doppler Only, bedside 2,780 500 3,280 3,195 575 3,770 3,615 650 4,265 4,030 715 4,745
4 Fetal Echo
PHILIPPINE HEART CENTER
NON-INVASIVE DIAGNOSTIC CARDIOLOGY DIVISION RATES – August 01, 2014
Patients in OPD, Patients in Semi-Private Patients in PrivateEmergency Room (ER) Rooms including Rooms including PatientsService and Pay Wards Semi-Private Rooms in Private Rooms in in
SICU/MICU/CCU/PICU SICU/MICU/CCU/PICU Suite RoomsNICU/Isolation Rooms
PROCEDURE
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
Patients in OPD, Patients in Semi-Private Patients in PrivateEmergency Room (ER) Rooms including Rooms including PatientsService and Pay Wards Semi-Private Rooms in Private Rooms in in
SICU/MICU/CCU/PICU SICU/MICU/CCU/PICU Suite RoomsNICU/Isolation Rooms
4.1 Station 4,300 860 5,160 4,945 990 5,935 5,590 1,115 6,705 6,235 1,225 7,460 With Consultant operator's fee & PF 4,300 1,900 6,200 4,945 2,185 7,130 5,590 2,470 8,060 6,235 2,720 8,9554.2 Bedside 4,560 1,000 5,560 5,245 1,190 6,435 5,930 1,350 7,280 6,610 1,485 8,095 With consultant operator's fee & PF 4,560 2,280 6,840 5,245 2,620 7,865 5,930 2,965 8,895 6,610 3,260 9,870
5 TEE5.1 Station 6,200 1,120 7,320 7,130 1,290 8,420 8,060 1,455 9,515 8,990 1,600 10,590 With consultant operator's fee & PF 6,200 3,100 9,300 7,130 3,565 10,695 8,060 4,030 12,090 8,990 4,430 13,4205.2 Bedside 7,440 1,340 8,780 8,555 1,540 10,095 9,670 1,740 11,410 10,790 1,915 12,705 With consultant operator's fee & PF 7,440 3,720 11,160 8,555 4,275 12,830 9,670 4,835 14,505 10,790 5,320 16,110
6 IOTEE 8,200 1,480 9,680 9,430 1,700 11,130 10,660 1,920 12,580 11,890 2,110 14,000
7 Stress Echo 5,100 920 6,020 5,865 1,060 6,925 6,630 1,200 7,830 7,395 1,320 8,715
8 Dobutamine Stress Echo 6,770 1,220 7,990 7,785 1,400 9,185 8,800 1,585 10,385 9,815 1,745 11,560
9 PTMC 8,200 1,480 9,680 9,430 1,700 11,130 10,660 1,920 12,580 11,890 2,110 14,000
10 3D echocardiography10.1 3D echo only 3,040 550 3,590 3,495 630 4,125 3,950 715 4,665 4,410 785 5,19510.2 2DE Doppler with 3D echo 6,620 1,190 7,810 7,610 1,370 8,980 8,605 1,545 10,150 9,600 1,700 11,30010.3 2D echo plain with 3D echo 5,650 1,020 6,670 6,500 1,170 7,670 7,345 1,325 8,670 8,195 1,460 9,65510.4 Fetal Echo with 3D echo 6,515 1,170 7,685 7,490 1,345 8,835 8,470 1,520 9,990 9,445 1,670 11,115 With Consultant operator's fee & PF 6,515 3,420 9,935 7,490 3,930 11,420 8,470 4,440 12,910 9,445 4,885 14,33010.5 TEE with 3D echo 9,240 1,660 10,900 10,625 1,900 12,525 12,010 2,150 14,160 13,400 2,365 15,765 With Consultant operator's fee & PF 9,240 4,620 13,860 10,625 5,310 15,935 12,010 6,000 18,010 13,400 6,600 20,000
PROCEDURE
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
Patients in OPD, Patients in Semi-Private Patients in PrivateEmergency Room (ER) Rooms including Rooms including PatientsService and Pay Wards Semi-Private Rooms in Private Rooms in in
SICU/MICU/CCU/PICU SICU/MICU/CCU/PICU Suite RoomsNICU/Isolation Rooms
11 Ambulatory Blood Pressure (ABP) Monitoring11.1 24 hrs. ABP Monitoring 3,100 625 3,725 3,565 720 4,285 4,030 810 4,840 4,495 890 5,38511.2 Per additional 24 hrs. 3,100 460 3,560 3,565 530 4,095 4,030 600 4,630 4,495 660 5,155
12 Stress Test 1,640 295 1,935 1,885 340 2,225 2,130 385 2,515 2,380 425 2,805
13 Retaping 720 720 830 830 935 935 1,045 1,045
Hospital PF Total
1. ECG P 460.00 90.00 550.00
2. Consultation fee 200.00- new patients and- unscheduled patients
3. OPD Card 30.00
4. O Saturation pot Check 330.00
PHILIPPINE HEART CENTEROUT-PATIENT DIVISION
RATES – August 1, 2014
Page 1 of 1
PROCEDURE
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTALCCReP Packages
1 Phase I – In Patient 1.1 For Open Heart Surgery (6 visits) 5,175 5,100 10,275 5,950 5,100 11,050 6,730 5,100 11,830 7,505 5,100 12,605
1.2 For Post MI (5 visits) 5,850 3,700 9,550 6,730 3,700 10,430 7,605 3,700 11,305 8,485 3,700 12,185
2 Phase I – In Patient 2.1 For Open Heart-SPD Surgery (4 visits) 2,590 2,000 4,590 2,980 2,000 4,980 3,367 2,000 5,367 3,750 2,000 5,750
2.2 For Post MI (3 visits) 3,510 2,250 5,760 4,035 2,250 6,285 4,560 2,250 6,810 5,090 2,250 7,340
3 Phase II – Out Patient 8,950 4,965 13,915
4 Combined Phase I & II (for open heart surgery) 14,125 10,065 24,190
5 Combined Phase I & II (for post MI) 14,800 10,065 24,865
6 Phase III (maintenance)6.1 One (1) month – 12 sessions 3,430 2,275 5,705
SICU/MICU/CCU/PICU SICU/MICU/CCU/PICU Suite RoomsNICU/Isolation Rooms
Emergency Room (ER) Rooms including Rooms including PatientsService and Pay Wards Semi-Private Rooms in Private Rooms in in
PHILIPPINE HEART CENTERCARDIAC REHABILITATION SECTION
RATES-AUGUST 01, 2014
Patients in OPD, Patients in Semi-Private Patients in Private
PROCEDURE
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
SICU/MICU/CCU/PICU SICU/MICU/CCU/PICU Suite RoomsNICU/Isolation Rooms
Emergency Room (ER) Rooms including Rooms including PatientsService and Pay Wards Semi-Private Rooms in Private Rooms in in
PHILIPPINE HEART CENTERCARDIAC REHABILITATION SECTION
RATES-AUGUST 01, 2014
Patients in OPD, Patients in Semi-Private Patients in Private
6.2 Two (2) months – 24 sessions 5,700 3,310 9,010
6.3 Three (3) months – 36 sessions 8,130 4,965 13,095
7 Project HOPE (Health Optimization through Prevention & Exercise) 6 weeks – 16 sessions 11,000 5,240 16,240
8 Treadmill Exercise Test 1640 295 1,935 1,885 340 2,225 2,130 385 2,515 2,380 425 2,805
9 Electrocardiogram 460 90 550 530 100 630 600 115 715 665 130 795
Rehab PF TOTAL Rehab PF TOTAL Rehab PF TOTAL Rehab PF TOTAL
1. In-Patient/Phase I 1,400 2,700 4,100 1,610 2,700 4,310 1,820 2,700 4,520 2,030 2,700 4,730
(4 sessions)
2. Out-Patient/Phase II 2,880 3,900 6,780 3,310 3,900 7,210 3,740 3,900 7,640 4,180 3,900 8,080
(8 sessions)
3. Combined I & II 3,800 5,700 9,500 4,370 5,700 10,070 4,940 5,700 10,640 5,510 5,700 11,210
(12 sessions)
SUITE ROOMS
CCU/PICU/NICU,
Isolation Rooms
(ER), Service and Pay Including Semi-Private Private Rooms in SICU/
PROCEDURE Wards Rooms in SICU/MICU/ MICU/CCU
PHILIPPINE HEART CENTER
PEDIACARE (PACKAGE RATES)
RATES-August 1, 2014
OPD, Emergency Room Semi-Private Rooms Private Rooms/
Patients in OPD, Semi Private Room Private Rooms/
Emergency Room cluding Semi-Priva Private Rooms in Suite
PROCEDURE Service and Rooms,SICU/MICU SICU/MICU/CCU Rooms
Pay Wards CCU/PICU/NICU PICU
Isolation Rooms
1 One unit of ABO/AB Whole Blood (500cc) 1,500 1,500 1,500 1,5002 250 cc or less of ABO/AB Whole Blood 1,400 1,400 1,400 1,4003 One unit of ABO/AB Packed RBC 1,100 1,100 1,100 1,1004 150 cc or less of ABO/AB Packed RBC 1,050 1,050 1,050 1,0505 One unit of Platelet Concentrate 700 700 700 7006 One unit of Fresh Frozen Plasma 700 700 700 7007 One unit of Fresh Plasma 700 700 700 7008 One unit of Platelet Rich Plasma 700 700 700 7009 One unit of Cryoprecipitate 700 700 700 70010 One unit of Cryosupernate 700 700 700 70011 One unit of Washed RBC 3,790 4,360 4,930 5,49512 Storage and Handling 285 330 370 41513 ABO/Rh Blood Typing 260 300 340 37514 Rh Blood Typing 165 190 215 24015 Three Phases of Crossmatching 350 405 455 51016 Initial Screening (w/o HIV & HCV) 1,000 1,150 1,300 1,45017 Screening and Bleeding (Whole Blood) 1,500 1,725 1,950 2,17518 Screening Charge for each Donor 1,500 1,725 1,950 2,17519 Screening and Bleeding (PRBC) 1,100 1,265 1,430 1,59520 Syphilis (Biokit) 260 300 340 38021 Direct Coomb's Test 220 255 290 32022 Cold Agglutinins 485 560 630 70523 Quantitative Cold Agglutinins 950 1,095 1,235 1,38024 One CPD - Single Blood Pack 210 240 275 30525 One Transfer Pack (300 ml) 210 240 275 30526 Antibody Screening Test (Donor) 525 605 685 76027 Antibody Screening Test (Patient) 700 805 910 1,01528 Antibody Screening Test (Per Component) 130 150 170 19029 Hep B Surface Antigen (HBsAg) 800 920 1,040 1,16030 Hep B Surface Antibody (Anti-HBs) 850 980 1,105 1,23531 Hep B Core Antibody (Anti-Hbc) 850 980 1,105 1,23532 Hep C Virus Antibody (Anti-HCV) 950 1,095 1,235 1,38033 Syphilis 450 520 585 65534 Anti-HIV 850 980 1,105 1,23535 Anti HBC IgG 850 980 1,105 1,235
PHILIPPINE HEART CENTERBLOOD BANK DIVISION
RATES - AUGUST 01, 2014
Patients in OPD, Semi Private Room Private Rooms/
Emergency Room cluding Semi-Priva Private Rooms in Suite
PROCEDURE Service and Rooms,SICU/MICU SICU/MICU/CCU Rooms
Pay Wards CCU/PICU/NICU PICU
Isolation Rooms
PHILIPPINE HEART CENTERBLOOD BANK DIVISION
RATES - AUGUST 01, 2014
36 Hepatitis Profile (A)
(Package deal for 4 Markers HbsAg,
Anti-HBs & Anti-HBc & Anti-HCV) 2,750 3,165 3,575 3,99037 Hepatitis Profile (B)
(Package deal for 3 Markers HbsAg, Anti-HBs & Anti-HBc ) 1,890 2,175 2,455 2,740 (Package deal for 3 Markers HBsAg, Anti-HBS, & Anti-HCV) 2,110 2,425 2,745 3,060
38 Hepatitis Profile ( C ) Package deal for 2 Markers HbsAg & Anti-HBs) 1,250 1,440 1,625 1,815
39 Red Blood Cell Apheresis Procedure 21,570 24,805 28,040 31,27540 Pheresis (Haemonetics) procedure* (8) 16,350 18,805 21,255 23,71041 Use of Pheresis Machine
One Unit Platelet Concentrate 2,040 2,345 2,650 2,960 One Unit Fresh Frozen Plasma 2,040 2,345 2,650 2,960
42 Malaria Screening Test 540 620 700 78543 Drug Assay 180 205 235 26044 Leukocyte Filter – red cell 2,185 2,510 2,840 3,17045 Leukocyte Filter – platelet concentrate 3,310 3,810 4,300 4,80046 Additional Copy of Laboratory Result 15 Fixed Rate
MISCELLANEOUS ITEMS
Handling fees for send-out specimens 400 460 520 580* Including complete screening
Medical Supplies shall be charged accordingly (Refer to DO-M:132:2014)No professional fee is authorized for any of the procedures.
CLINICAL CHEMISTRY SECTION
SERUM/PLASMA
1 Albumin 300 345 390 4352 ALP (Alkaline Phosphatase) 300 345 390 4353 ALT/SGPT 300 345 390 4354 Ammonia 1,035 1,190 1,345 1,5005 Amylase 455 525 590 6606 AST/SGOT 300 345 390 4357 BUN/Urea 255 295 330 3708 Calcium 300 345 390 4359 Chloride 305 350 395 440
10 CKMB (including CK - Total) 1,000 1,150 1,300 1,45011 Creatine Kinase (CK-Total) 570 655 740 82512 Creatinine 245 280 320 35513 Fasting Blood Sugar 245 280 320 35514 HbA1c/Glycosylated Hemoglobin 1,060 1,220 1,375 1,53515 Lactate Dehydrogenase (LDH) 300 345 390 43516 Lipase 1,000 1,150 1,300 1,45017 Magnesium 300 345 390 43518 Oral Glucose Challenge Test (OGCT) 650 750 845 94019 Oral Glucose Tolerance Test - 2 hours 830 955 1,080 1,20520 Oral Glucose Tolerance Test - 3 hours 1,030 1,185 1,340 1,49521 Oral Glucose Tolerance Test - 4 hours 1,225 1,410 1,595 1,77522 Phosphorus 330 380 430 48023 Post Prandial Blood Sugar (PPBS) 245 282 320 35524 Potassium 305 350 395 44025 Random Blood Sugar 245 280 320 35526 Sodium 305 350 395 44027 Total Bilirubin 620 715 805 90028 TP/AG Ratio 525 600 680 76029 Uric Acid 255 290 330 37030 Serum Osmolality 400 460 520 58031 Digoxin 1,520 1,750 1,975 2,20532 CKMM 1,200 1,380 1,560 1,74033 Lipid Profile (with direct LDL) 1,285 1,480 1,670 1,86534 Cholesterol 265 305 345 38535 Triglycerides 355 410 460 51536 High Density Lipoprotein (HDL Direct) 495 570 645 720
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
37 Low Density Lipoprotein (LDL Direct) 495 570 645 72038 Very Low Density Lipoprotein (VLDL) 400 460 520 580
FLUIDS
1 Cerebrospinal fluid - Glucose 245 280 320 355Cerebrospinal fluid - LDH 300 345 390 435Cerebrospinal fluid - Protein 1,000 1,150 1,300 1,450
2 Other Fluid Albumin 300 345 390 435Other Fluid Alkaline Phosphatase 300 345 390 435Other Fluid ALT 300 345 390 435Other Fluid AST 300 345 390 435Other Fluid Amylase 455 520 590 660Other Fluid BUN/Urea 255 295 330 370Other Fluid Chloride 305 350 395 440Other Fluid CKMB (including CK-Total) 1,000 1,150 1,300 1,450Other Fluid Cholesterol 265 305 345 385Other Fluid Creatine Kinase (CK-Total) 570 655 740 825Other Fluid Creatinine 245 280 320 355Other Fluid Glucose 245 280 320 355Other Fluid Lactate Dehydrogenase (LDH) 300 345 390 435Other Fluid Magnesium 300 345 390 435Other Fluid Phosphorus 330 380 430 480Other Fluid Potassium 305 350 395 440Other Fluid Protein (except CSF protein) 320 370 415 465Other Fluid Sodium 305 350 395 440Other Fluid Total Bilirubin 620 715 805 900Other Fluid TP/AG Ratio 525 605 680 760Other Fluid Triglycerides 355 410 460 515Other Fluid Uric Acid 255 295 330 370
3 Pericardial Fluid Glucose 245 280 320 355Pericardial Fluid LDH 300 345 390 435Pericardial Fluid Protein 320 370 415 465
4 Peritoneal Fluid Glucose 245 280 320 355Peritoneal Fluid LDH 300 345 390 435Peritoneal Fluid Protein 320 370 415 465
5 Pleural Fluid Glucose 245 280 320 355Pleural Fluid LDH 300 345 390 435Pleural Fluid Protein 320 370 415 435Pleural Fluid Cholesterol 265 305 345 385
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
Pleural Fluid Triglycerides 355 410 460 515URINE
1 24 hour Urine Creatinine 245 280 320 3552 24 hour Urine Potassium 305 350 395 4403 24 hour Urine Protein 595 685 775 8654 24 hour Urine Sodium 305 350 395 4405 24 hour Urine Creatinine Clearance 450 520 585 6556 Random or Timed Urine Amylase 455 525 590 6607 Random Urine Creatinine 245 280 320 3558 Random Urine Potassium 305 350 395 4409 Random Urine Sodium 305 350 395 440
MISCELLANEOUS ITEMS
1 Additional Laboratory Copy 15 20 25 302 Green/Red/Blue Test Tube 15 20 25 303 Miscellaneous Test 1 (Body Fluid) 150 175 195 2204 Miscellaneous Test 2 (Body Fluid) 250 290 325 3655 Miscellaneous Test 3 (Body Fluid) 500 575 650 7256 Miscellaneous Test 4 (Body Fluid) 1,000 1,150 1,300 1,4507 Handling Fee (government specialty center) 400 460 520 5808 Handling Fee (private hospital) 800 920 1,040 1,1609 Storage Fee (amputated body part) 300 fixed rate
10 Cremation Fee – (unclaimed body part) 1,500 fixed rate
HEMATOLOGY SECTION
1 Cell Count (Fluids) 325 375 425 4702 Complete Blood Count 325 375 425 4703 Erythrocyte Sedimentation Rate 200 230 260 2904 Howell-Jolly Bodies 200 230 260 2905 Lupus Erythematosus Preparation 260 300 340 3756 Malarial Smear 335 385 435 4857 Peripheral Smear 325 375 425 4708 pH 120 140 155 1759 Reticulocyte Count 235 270 305 340
10 Specific Gravity (Fluids) 120 140 155 17511 Fluid Hematocrit 260 300 340 375
COAGULATION
1 Activated Partial Thromboplastin Time(APTT/PTT) 445 510 580 6452 Bleeding Time 180 205 235 260
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
3 Clot Retraction Time 245 280 320 3554 Prothrombin Time (PT/PTPA) 355 410 460 5155 Anti-Xa Test 1,800 2,070 2,340 2,6106 D-Dimer 4,400 5,060 5,720 6,380
SEROLOGY/IMMUNOLOGY SECTION
TUMOR MARKERS
1 Alpha fetoprotein (AFP) 1,470 1,690 1,910 2,1302 Carcino Embryonic Antigen (CEA) 1,400 1,610 1,820 2,0303 Total Prostate Specific Antigen 935 1,075 1,215 1,3554 Total Prostate Specific Antigen - STAT 1,500 1,725 1,950 2,1756 Ferritin Test 2,200 2,530 2,860 3,1907 CA 125 2,500 2,875 3,250 3,6258 CA 19-9 2,500 2,875 3,250 3,6259 CA 15-3 2,500 2,875 3,250 3,625
HEPATITIS MARKERS
1 HBsAg 850 980 1,105 1,2352 Anti-HBs 800 920 1,040 1,1603 HBcIgM 900 1,035 1,170 1,3054 HAV IgM 900 1,035 1,170 1,3055 Anti HCV (IgG) 1,000 1,150 1,300 1,4506 HBeAg 1,165 1,340 1,515 1,6907 HBeAb 900 1,035 1,170 1,3058 HEPATITIS PROFILE (# 1 to 7) 4,800 5,520 6,240 6,960
CARDIAC MARKERS
1 Complete Cardiac Panel 4,875 5,605 6,340 7,070(Troponin I, CKMB mass, Myoglobin)
2 CKMB mass 1,950 2,245 2,535 2,8303 CKMB mass + Troponin I 2,630 3,025 3,420 3,8154 D-Dimer Exclusion 4,400 5,060 5,720 6,3805 Troponin I (Quantitative) 1,350 1,555 1,755 1,9606 Myoglobin 2,600 2,990 3,380 3,7707 Pro-BNP (NT-Pro-BNP) 3,500 4,025 4,550 5,0758 Troponin T 2,600 2,990 3,380 3,770
SEROLOGY SECTION
1 Anti-Nuclear Antibody (ANA) - Qualitative 1,465 1,685 1,905 2,1252 Anti-Streptolysin O titer (ASO) 630 725 820 915
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
3 C-Reactive Protein (CRP) 530 610 690 7704 Dengue NS1 Ag (Antigen) 1,230 1,415 1,600 1,7855 Dengue Test - Antibody (IgG and IgM) 950 1,095 1,235 1,3806 Rheumatoid Factor (RF/RA Factor) 485 560 630 7057 Salmonella typhi IgM 1,400 1,610 1,820 2,0308 High Sensitivity C-Reactive Protein(HS-CRP) 1,300 1,495 1,690 1,885
BACTERIOLOGY SECTION
Smear/Wet Mount Preparation
1 Acid Fast Bacilli (AFB) Smear 280 320 365 4052 Gram Stain 280 320 365 4053 India Ink Preparation 185 215 240 2704 KOH 185 215 240 270
Blood Culture and Sensitivity
5 Blood C/S (Pediatric - ARD) 1,700 1,955 2,210 2,4656 Blood C/S (Aerobic and Anaerobic - ARD) 2,100 2,415 2,730 3,045
Body Fluid Culture and Sensitivity
7 Body Fluids C/S (Aerobic - ARD) 1,700 1,955 2,210 2,4658 Body Fluids C/S (Aerobic and Anaerobic - ARD) 2,100 2,415 2,730 3,045
Culture and Sensitivity
9 Ascitic (Peritoneal/Abdominal) Fluid C/S with 1,275 1,465 1,660 1,850 Gram Stain)
10 Bronchial Washing C/S (with Gram Stain) 1,275 1,465 1,660 1,85011 Cerebrospinal Fluid C/S (with Gram Stain) 1,275 1,465 1,660 1,85012 Ear Discharge C/S ( with Gram Stain) 1,275 1,465 1,660 1,85013 Endotracheal Aspirate (ETA) C/S (with Gram Stain) 1,275 1,465 1,660 1,85014 Eye Discharge C/S (with Gram Stain) 1,275 1,465 1,660 1,85015 Nasotracheal Aspirate C/S (NTA) (with Gram Stain) 1,275 1,465 1,660 1,85016 Nose Discharge C/S (with Gram Stain) 1,275 1,465 1,660 1,85017 Other C/S (with Gram Stain) 1,275 1,465 1,660 1,85018 Other C/S (without Gram Stain) 1,160 1,335 1,510 1,68019 Pericardial Fluid C/S ( with Gram Stain) 1,275 1,465 1,660 1,85020 Peritoneal (Ascitic/Abdominal) Fluid C/S (w/ GS) 1,275 1,465 1,660 1,85021 Pleural Fluid C/S (with Gram Stain) 1,275 1,465 1,660 1,85022 Prostatic Discharge C/S (with Gram Stain) 1,275 1,465 1,660 1,85023 Rectal Swab C/S (with Gram Stain) 1,275 1,465 1,660 1,85024 Sputum C/S (with Gram Stain) 1,275 1,465 1,660 1,85025 Stool C/S ( with Gram Stain) 1,275 1,465 1,660 1,850
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
26 Stool C/S ( without Gram Stain) 1,160 1,335 1,510 1,68027 Synovial (Joint) Fluid C/S ( with Gram Stain) 1,275 1,465 1,660 1,85028 Throat Swab C/S ( with Gram Stain) 1,275 1,465 1,660 1,85029 Urethral Discharge C/S ( with Gram Stain) 1,275 1,465 1,660 1,85030 Urine C/S (with Gram Stain) 1,275 1,465 1,660 1,85031 Urine C/S (without Gram Stain) 1,160 1,335 1,510 1,68032 Vaginal Discharge C/S (with Gram Stain) 1,275 1,465 1,660 1,85033 Wound Discharge C/S (with Gram Stain) 1,275 1,465 1,660 1,850
CLINICAL MICROSCOPY SECTION
1 Microalbumin Urine, Qualitative 185 215 240 2702 Pregnancy Test, Qualitative 200 230 260 2903 Semen Analysis 500 575 650 7254 Urinalysis, Routine 225 260 295 3255 Chlamydia Antigen Test 1,010 1,160 1,315 1,465
Urinalysis Parameter
6 Glucose 120 140 155 1757 Protein 120 140 155 1758 Acetone 120 140 155 1759 pH 120 140 155 175
10 Specific Gravity 120 140 155 17511 Erythrocytes 120 140 155 17512 Leukocyte 120 140 155 17513 Nitrite 120 140 155 17514 Bilirubin 120 140 155 17515 Urobilinogen 120 140 155 175
OTHER TESTS
1 Direct Smear Examination 110 125 145 1602 Helicobacter Pylori (H. Pylori) 900 1,035 1,170 1,3053 Fecal Occult Blood Test 400 460 520 5804 Stool Exam (Fecalysis) 110 125 145 1605 Clostridium Difficile 1,700 1,955 2,210 2,465
HISTOPATHOLOGY & CYTOLOGY SECTIONCYTOLOGY SECTION
Smear1 Pap's smear 200 230 260 2902 Bronchial brushing smear 200 230 260 290
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
3 Cerebrospinal fluid (cytospin) smear 1,280 1,470 1,665 1,8554 Urine (cytospin) smear 1,280 1,470 1,665 1,855
Fluid Cytology and Cell Block1 Bronchial washing 1,280 1,470 1,665 1,8552 Endotracheal aspirate 1,280 1,470 1,665 1,8553 Other body fluid 1,280 1,470 1,665 1,8554 Pericardial fluid 1,280 1,470 1,665 1,8555 Peritoneal (ascitic/abdominal) fluid 1,280 1,470 1,665 1,8556 Pleural (thoracentesis) fluid 1,280 1,470 1,665 1,8557 Synovial (joint) fluid 1,280 1,470 1,665 1,8558 Sputum 1,280 1,470 1,665 1,855
Fine Needle Aspirate and Biopsy1 CT Scan Guided FNAB/pass 1,100 1,265 1,430 1,5952 Ultrasound Guided FNAB/pass 1,100 1,265 1,430 1,595
(6 slides only and 1 cell block)3 FNAB (Pathologist performed) pass 1,100 1,265 1,430 1,595
Fine Needle Aspirate and Biopsy (outside)4 FNAB (price/slide) plus 100 115 130 145
Slide Review or Second Opinion 110 125 145 1605 FNAB (price/cell block) plus 250 290 325 365
Slide Review or Second Opinion 110 125 145 160
HISTOPATHOLOGY SECTION1 Small specimen 750 865 975 1,0902 Endoscopic/needle core biopsies 995 1,145 1,295 1,4403 Medium specimen 1,380 1,585 1,795 2,0004 Large specimen 2,250 2,590 2,925 3,2655 Radical specimen 4,000 4,600 5,200 5,8006 Additional slides for H & E (re-cut slide tissue) 110 125 145 1607 Slide Review or Second Opinion 110 125 145 1608 Gross Examination Only 110 125 145 1609 Decalcification (100 ml) 100 115 130 145
10 Frozen section Biopsy 1,460 1,680 1,900 2,12011 Frozen section Biopsy Set-up Fee 600 690 780 87012 Frozen section Biopsy (additional tissue, same site) 555 635 720 805
Autopsy1 Partial 9,050 10,410 11,765 13,1252 Complete 11,155 12,830 14,500 16,175
Tissue Immunohistochemistry Stains
1 Estrogen Receptor α (ER) 1,870 2,150 2,430 2,7102 Progesterone Receptor (PR) 1,870 2,150 2,430 2,7103 Thyroid Transcription Factor (TTF) 1,800 2,070 2,340 2,6104 Carcinoembryonic Antigen (CEA) 1,800 2,070 2,340 2,610
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
5 Cytokeratin 7 (CK 7) 2,160 2,485 2,810 3,1306 Cytokeratin 20 (CK 20) 2,160 2,485 2,810 3,1307 CD45, Leucocyte Common Antigen (LCA) 1,800 2,070 2,340 2,6108 Desmin 1,800 2,070 2,340 2,6109 Vimentin 1,800 2,070 2,340 2,610
10 Pancytokeratins (AE1+AE3) 1,800 2,070 2,340 2,61011 PLAP 1,800 2,070 2,340 2,61012 CD 3 1,800 2,070 2,340 2,61013 CD 20 1,800 2,070 2,340 2,61014 CD 30 1,800 2,070 2,340 2,61015 CD 31 1,800 2,070 2,340 2,61016 CD 15 1,800 2,070 2,340 2,61017 Calretinin 1,800 2,070 2,340 2,61018 Smooth Muscle Actin 1,800 2,070 2,340 2,61019 Her-2 neu 1,800 2,070 2,340 2,61020 S 100 1,800 2,070 2,340 2,61021 NSE 1,800 2,070 2,340 2,61022 P53 1,800 2,070 2,340 2,61023 P63 1,800 2,070 2,340 2,61024 Chromogranin 1,800 2,070 2,340 2,61025 MIB-1 (KI67) 1,800 2,070 2,340 2,61026 Synaptophysin 1,800 2,070 2,340 2,61027 WT-1 1,800 2,070 2,340 2,610
Special Stains1 AFB Tissue Stain 650 750 845 9452 Brown and Brenn (Modified Gram Stain) 650 750 845 9453 Elastic Satin (for Pulmonary Hypertension) 650 750 845 9454 Masson's Trichrome (Connective Tissue Stain) 650 750 845 9455 Mayer's Mucicarmine ( for Mucin) 650 750 845 9456 PAS Stain 650 750 845 9457 Wright's Giemsa (for Helicobacter Pylori) 650 750 845 945
CRITICAL CARE SATELLITE LAB1 CCSatLab (Aspirin Test) 2,900 3,335 3,770 4,2052 CCSatLab (Bleeding Time) 215 245 280 3103 CCSatLab (Blood Urea Nitrogen) 370 425 480 5354 CCSatLab (Calcium, Total) 370 425 480 5355 CCSatLab (Chloride) 850 980 1105 12356 CCSatLab (Complete Blood Count) 390 450 505 5657 CCSatLab (Creatinine) 685 785 890 9958 CCSatLab (Ionized Ca) 1,300 1,495 1,690 1,8859 CCSatLab (Magnesium) 440 505 570 640
10 CCSatLab (Na K Cl ) 850 975 1,105 1,235
PHILIPPINE HEART CENTER
DIVISION OF LABORATORY MEDICINE
RATES – August 01, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
11 CCSatLab (Na K Cl Ionized Ca) 1,300 1,495 1,690 1,88512 CCSatLab (P2Y12 Test) 4,950 5,690 6,435 7,18013 CCSatLab (Potassium) 850 980 1105 123514 CCSatLab (Prothrombin Time) 525 605 680 76015 CCSatLab (Sodium, Potassium) 850 980 1105 123516 CCSatLab (Sodium) 850 980 1105 123517 CCSatLab (Trop T) 3,120 3,585 4,055 4,52518 CCSatLab (Troponin I) 1,635 1,880 2,125 2,370
ER SATELLITE LABORATORY1 POCT - Bleeding Time 2152 POCT - Calcium, Total 3703 POCT - CKMB Mass 4,2354 POCT- Complete Blood Count 3905 POCT - Creatinine 6856 POCT - D- Dimer 4,4007 POCT - Magnesium 4408 POCT - Na K 7759 POCT - Na K Cl (Package) 775
10 POCT - Prothrombin Time 52511 POCT - Troponin I (ERSL) 1,63512 POCT - Troponin I 1,635
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
1 Routine EEG (station)30 min. recording awake and drowsy 2,000 600 2,600 2,300 700 3,000 2,600 700 3,300 2,900 700 3,600
2 Routine EEG (Bedside) 2,400 600 3,000 2,760 700 3,460 3,120 700 3,820 3,480 700 4,180
3 Awake and sleep/ Sleep deprived(minimum of 1 hr.) 3,000 700 3,700 3,450 800 4,250 3,900 800 4,700 4,350 800 5,150With additional P500 exceeding 1 hr.
4 Comatose Protocol - - - 2,900 700 3,600 3,300 700 4,000
5 Video EEG/Epilepsy monitoring 4,000 1,500 5,500 4,600 1,500 6,100 5,200 1,500 6,700 5,800 1,500 7,300(station) 2 hrs.
6 Video EEG/Epilepsy monitoring(bedside) 2 hrs. 4,900 1,500 6,400 5,635 1,500 7,135 6,370 1,500 7,870 7,105 1,500 8,605
7 Video EEG/Epilepsy monitoring(station) 4 hrs. 6,000 2,000 8,000 6,900 2,000 8,900 7,800 2,000 9,800 8,700 2,000 10,700
PHILIPPINE HEART CENTERNEUROLOGY SECTION
RATES – AUGUST 01, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/ NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
RATES – August 1, 2014
PROCEDURE
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL1 MPS STRESS THALLIUM 14,000 1,700 15,700 16,100 1,955 18,055 18,200 2,210 20,410 20,300 2,430 22,7302 MPS REST- REDISTRIBUTION 13,800 1,680 15,480 15,870 1,930 17,800 17,940 2,180 20,120 20,010 2,400 22,4103 MPS DIPYRIDAMOLE THALLIUM 15,200 1,700 16,900 17,480 1,955 19,435 19,760 2,210 21,970 22,040 2,430 24,4704 MPS STRESS THALLIUM WITH REINJECTION 16,000 1,900 17,900 18,400 2,185 20,585 20,800 2,470 23,270 23,200 2,715 25,9155 MPS STRESS MIBI 14,000 1,700 15,700 16,100 1,955 18,055 18,200 2,210 20,410 20,300 2,430 22,7306 MPS RESTING MIBI 13,800 1,680 15,480 15,870 1,930 17,800 17,940 2,180 20,120 20,010 2,400 22,4107 MPS DIPYRIDAMOLE MIBI 15,200 1,700 16,900 17,480 1,955 19,435 19,760 2,210 21,970 22,040 2,430 24,4708 MPS DUAL ISOTOPE 15,700 1,500 17,200 18,055 1,725 19,780 20,410 1,950 22,360 22,765 2,145 24,9109 MPS EXPRESS MIBI 9,000 1,000 10,000 10,350 1,150 11,500 11,700 1,300 13,000 13,050 1,430 14,48010 FIRST PASS RNA 6,000 500 6,500 6,900 575 7,475 7,800 650 8,450 8,700 715 9,41511 INFARCT AVID SCAN 6,000 500 6,500 6,900 575 7,475 7,800 650 8,450 8,700 715 9,41512 GATED CARDIAC BLOOD POOL REST SCAN 8,000 500 8,500 9,200 575 9,775 10,400 650 11,050 11,600 715 12,31513 GATED CARDIAC BLOOD POOL STRESS SCAN 9,500 950 10,450 10,925 1,090 12,015 12,350 1,235 13,585 13,775 1,360 15,13514 THYROID SCAN (PERTECHNETATE) 1,800 150 1,950 2,070 175 2,245 2,340 195 2,535 2,610 215 2,82515 THYROID UPTAKE (RAIU) 1,800 100 1,900 2,070 115 2,185 2,340 130 2,470 2,610 145 2,75516 THYROID SCAN (PERTECHNETATE) W/ RAIU 3,500 150 3,650 4,025 175 4,200 4,550 195 4,745 5,075 215 5,29017 RENAL DYNAMIC SCAN WITH GFR 5,200 500 5,700 5,980 575 6,555 6,760 650 7,410 7,540 715 8,25518 RENAL SCAN DIURETIC 5,200 500 5,700 5,980 575 6,555 6,760 650 7,410 7,540 715 8,25519 RENAL CORTICAL SCAN 4,500 500 5,000 5,175 575 5,750 5,850 650 6,500 6,525 715 7,24020 SCINTIMAMMOGRAPHY(HDP OR MDP) 5,500 550 6,050 6,325 630 6,955 7,150 715 7,865 7,975 785 8,76021 SCINTIMAMMOGRAPHY(SESTAMIBI) 6,000 550 6,550 6,900 630 7,530 7,800 715 8,515 8,700 785 9,48522 SCINTIMAMMOGRAPHY & BONE SCAN (HDP OR MDP) 7,500 750 8,250 8,625 860 9,485 9,750 975 10,725 10,875 1,075 11,95023 BONE SCAN TOTAL BODY 6,000 550 6,550 6,900 630 7,530 7,800 715 8,515 8,700 785 9,48524 TAGGED RBC SCAN FOR G.I. BLEEDING 16,000 1,300 17,300 18,400 1,495 19,895 20,800 1,690 22,490 23,200 1,860 25,06025 HEPATOBILIARY 7,500 650 8,150 8,625 745 9,370 9,750 845 10,595 10,875 930 11,80526 LIVER SCAN (COLLOID) 6,000 500 6,500 6,900 575 7,475 7,800 650 8,450 8,700 715 9,41527 LUNG PERFUSION 6,500 600 7,100 7,475 690 8,165 8,450 780 9,230 9,425 860 10,28528 LUNG VENTILATION 8,500 800 9,300 9,775 920 10,695 11,050 1,040 12,090 12,325 1,145 13,47029 LEG VENOGRAPHY 8,500 700 9,200 9,775 805 10,580 11,050 910 11,960 12,325 1,000 13,32530 LEG VENOGRAPHY AND LUNG PERFUSION 10,000 850 10,850 11,500 975 12,475 13,000 1,105 14,105 14,500 1,215 15,715
Patients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
PHILIPPINE HEART CENTERNUCLEAR MEDICINE
RATES – August 1, 2014
PROCEDURE
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
Patients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
PHILIPPINE HEART CENTERNUCLEAR MEDICINE
31 PARATHYROID(SESTAMIBI/PERTECHNETATE 8,000 800 8,800 9,200 920 10,120 10,400 1,040 11,440 11,600 1,145 12,74532 GASTROESOPHAGEAL REFLUX SCAN 6,000 600 6,600 6,900 690 7,590 7,800 780 8,580 8,700 860 9,56033 TESTICULAR SCAN 5,000 400 5,400 5,750 460 6,210 6,500 520 7,020 7,250 570 7,82034 DACRYOSCINTIGRAPHY 3,000 250 3,250 3,450 285 3,735 3,900 325 4,225 4,350 360 4,71035 SALIVARY GLAND SCAN 3,500 300 3,800 4,025 345 4,370 4,550 390 4,940 5,075 430 5,50536 GASTRIC EMPTYING SCAN 5,500 500 6,000 6,325 575 6,900 7,150 650 7,800 7,975 715 8,69037 MECKEL'S DIVERTICULUM SCAN 6,000 400 6,400 6,900 460 7,360 7,800 520 8,320 8,700 570 9,27038 TOTAL BODY SCAN 3,000 500 3,500 3,450 575 4,025 3,900 650 4,550 4,350 725 5,07539 EXTRA IMAGE PRINOUT CHARGE ( PER FILM) 500 500 575 575 650 650 725 72540 TOTAL BODY I-131 SCAN (2mci) 6,000 500 6,500 6,900 575 7,475 7,800 650 8,450 8,700 715 9,41541 EXTRA CD 1,000 1,000 1,150 1,150 1,300 1,300 1,450 1,450
RADIOIMMUNOASSAY (BY BATCH)1 FT3 RIA 1,200 100 1,300 1,380 115 1,495 1,560 130 1,690 1,740 145 1,8852 FT4 RIA 1,200 100 1,300 1,380 115 1,495 1,560 130 1,690 1,740 145 1,8853 TSH IRMA 1,200 100 1,300 1,380 115 1,495 1,560 130 1,690 1,740 145 1,8854 FT3 & FT4 RIA 2,100 190 2,290 2,415 220 2,635 2,730 245 2,975 3,045 270 3,3155 FT3 RIA & TSH IRMA 2,100 190 2,290 2,415 220 2,635 2,730 245 2,975 3,045 270 3,3156 FT4 RIA & TSH IRMA 2,100 190 2,290 2,415 220 2,635 2,730 245 2,975 3,045 270 3,3157 FT3, FT4 RIA & TSH IRMA 3,000 270 3,270 3,450 310 3,760 3,900 350 4,250 4,350 385 4,735
RADIOIMMUNOASSAY (INDIVIDUAL RUN)1 FT3 RIA 4,000 270 4,270 4,600 310 310 5,200 350 5,550 5,800 385 6,1852 FT4 RIA 4,000 270 4,270 4,600 310 310 5,200 350 5,550 5,800 385 6,1853 TS IRMA 4,000 270 4,270 4,600 310 310 5,200 350 5,550 5,800 385 6,185
PHILIPPINE HEART CENTERPHYSICAL MEDICINE AND REHABILITATION DIVISION
RATES – AUGUST 01, 2014
PROCEDURE
1. Occupational Therapy I 345 395 450 500
2. Occupational Therapy II 345 395 450 500
3. Occupational Therapy III 345 395 450 500
4. Occupational Therapy IV 345 395 450 500
5. Occupational Therapy V 345 395 450 500
6. Occupational Therapy VI 115 130 150 165
7. Splinting I 440 505 570 640
8. Splinting II 1,330 1,530 1,730 1,930
9. Splinting III 2,700 3,105 3,510 3,915
Professional fees:
(OT I-V) - Php 230
(OT VI) - Php 60
(Splinting I ) - Php 205
(Splinting II ) - Php 325
(Splinting III ) - Php 460
Physical Therapy
1 Physical Therapy I 575 660 750 835
2 Physical Therapy II 575 660 750 835
3 Physical Therapy III 575 660 750 835
4 Physical Therapy IV 670 770 870 970
5 Physical Therapy V 575 660 750 835
6 Physical Therapy VI 670 770 870 970
7 Physical Therapy VII 575 660 750 835
8 Physical Therapy VIII 290 335 375 420
9 Wellness I 575 660 750 835
10 Wellness II 610 700 795 885
Electrodiagnostic Procedures
1 EMG-Myasthenia Protocol 1,280 1,470 1,665 1,855
2 EMG-SSEP 1,280 1,470 1,665 1,855
3 EMG-NCV (1-2 extremities) 2,105 2,420 2,735 3,050
4 EMG-NCV (3-4 extremities) 2,565 2,950 3,335 3,720
5 EMG-NCV with MP 2,935 3,375 3,815 4,255
6 EMG-NCV with SSEP 2,935 3,375 3,815 4,255
Patients in OPD, Emergency Room (ER), Service and
Pay Wards
Patients in Semi-Private Rooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/
PICU
Patients in Suite Rooms
Inclusive of EMG needle
Rates of Electrodiagnostic procedures are exclusive of professional fees.
1 Hotpack 60 70 80 85
2 Coldpack 60 70 80 85
3 Paraffin Wax Bath 60 70 80 85
4 TENS 60 70 80 85
5 Infrared Radiation 70 80 90 100
6 Ultraviolet Radiation 60 70 80 85
7 Ultrasound 60 70 80 85
8 Cervical Traction (ICT) 70 80 90 100
9 Lumbart Traction (ILT) 70 80 90 100
10 Motorpoint / ES / FES 60 70 80 85
11 IPC / Jobst Compression 70 80 90 100
12 Taping 85 100 110 125
13 Biofeedback 70 80 90 100
14 Tilt Table 115 130 150 165
15 Rehab Trainer 50 60 65 75
16 Bike Ergometer 50 60 65 75
17 Cybex Bike 50 60 65 75
18 Cybex Leg Press 50 60 65 75
19 Cybex Shoulder Press 50 60 65 75
20 ProStar Lats Pull Down 50 60 65 75
21 ProStar Cable 50 60 65 75
22 ProStar Chest Press 50 60 65 75
23 ProStar Abs Machine 50 60 65 75
24 Rower 50 60 65 75
25 Endolaser 422 85 100 110 125
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL1 Arterial Blood Gas 715 85 800 820 98 918 930 110 1,040 1,035 120 1,1552 ABG with electrolytes det 895 105 1,000 1,030 120 1,150 1,165 140 1,305 1,300 155 1,4553 ABG with lactate 805 95 900 925 110 1,035 1,045 125 1,170 1,165 135 1,3004 Complete ABG panel 1,070 130 1,200 1,230 145 1,375 1,390 165 1,555 1,550 180 1,7305 Pleural pH det 750 - 750 865 - 865 975 - 975 1,090 - 1,0906 Venous HCO3 det 750 - 750 865 - 865 975 - 975 1,090 - 1,0907 Hemodynamic studies cv lab/analysis 400 - 400 460 - 460 520 - 520 580 - 5808 Use of microprocessor/day 1,790 - 1,790 2,060 - 2,060 2,325 - 2,325 2,595 - 2,5959 IPPB inha therapy 240 - 240 275 - 275 310 - 310 350 - 350
10 Inhalation therapy 115 - 115 130 - 130 150 - 150 165 - 16511 Incentive spirometry use/monitoring 190 - 190 220 - 220 245 - 245 275 - 27512 PEFR monitoring/day 125 - 125 145 - 145 165 - 165 180 - 18013 Pulmo Rehab Program 12,400 1,000 13,400 14,260 1,000 15,260 16,120 1,000 17,120 17,980 1,100 19,08014 Cardio pulmonary exercise test 3,100 500 3,600 3,565 500 4,065 4,030 500 4,530 4,495 550 5,04515 Follow up exercise/per session rehab 450 - 450 520 - 520 585 - 585 655 - 65516 Pre-flight evaluation 1,700 500 2,200 1,955 500 2,455 2,210 500 2,710 2,465 550 3,01517 Six minute walk 500 - 500 575 - 575 650 - 650 725 - 72518 AaDO2 test 1,600 160 1,760 1,840 155 1,995 2,080 210 2,290 2,320 230 2,55019 Use of AaDO2 gadget 210 - 210 240 - 240 275 - 275 305 - 30520 Use of mech percussor 115 - 115 130 - 130 150 - 150 165 - 16521 Use of BIPAP machine/day 1,200 - 1,200 1,380 - 1,380 1,560 - 1,560 1,740 - 1,74022 Spotcheck 330 - 330 380 - 380 430 - 430 480 - 48023 Pulse ox 1-12 hrs 560 - 560 645 - 645 730 - 730 810 - 81024 Pulse ox 24 hrs 840 - 840 965 - 965 1,090 - 1,090 1,220 - 1,22025 Bronchoscopy Procedure 7,000 - 7,000 8,050 - 8,050 9,100 - 9,100 10,150 - 10,150
Bronchoscopy Package I 10,240 3,200 13,440 - - - - - - - - -Bronchoscopy Package II 7,750 2,000 9,750 - - - - - - - - -Bronchoscopy Package III 7,200 600 7,800 - - - - - - - - -Bronchoscopy Package IV 9,290 600 9,890 - - - - - - - - -
PHILIPPINE HEART CENTERPULMONARY MEDICINE DIVISION
RATES – AUGUST 01, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private
Rooms in SICU/MICU/CCU/PICU/ NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTERPULMONARY MEDICINE DIVISION
RATES – AUGUST 01, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private
Rooms in SICU/MICU/CCU/PICU/ NICU
Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
Bronchoscopy Package V 10,040 2,600 12,640 - - - - - - - - -Bronchoscopy Package VI 9,490 1,200 10,690 - - - - - - - - -Bronchoscopy Package VII 7,950 2,600 10,550 - - - - - - - - -Bronchoscopy Package VIII 7,000 - 7,000 - - - - - - - - -
26 Simple Spirometry (PFT) 810 120 930 930 135 1,065 1,050 165 1,215 1,175 180 1,35527 Spirometry (pre/post) 1,200 180 1,380 1,380 210 1,590 1,560 260 1,820 1,740 285 2,02528 Post broncho challenge 1,000 135 1,135 1,150 155 1,305 1,300 200 1,500 1,450 220 1,67029 Spiro with bronchoprovocation 1,300 195 1,495 1,495 225 1,720 1,690 280 1,970 1,885 310 2,19530 Lung volume studies 790 118 908 910 135 1,045 1,025 170 1,195 1,145 185 1,33031 DLCO 1,190 180 1,370 1,370 205 1,575 1,545 255 1,800 1,725 280 2,00532 Complete test 3,020 450 3,470 3,475 520 3,995 3,925 650 4,575 4,380 715 5,09533 PFT Pedia 1,415 - 1,415 1,630 - 1,630 1,840 - 1,840 2,050 - 2,05034 PFT neonates 1,470 - 1,470 1,690 - 1,690 1,910 - 1,910 2,130 - 2,13035 Diagnostic sleep study 12,500 2,000 14,500 same same same same same same same same same36 Therapeutic sleep study 9,000 3,000 12,000 same same same same same same same same same37 Diag & Thera 19,500 3,000 22,500 same same same same same same same same same38 Sputum induction 100 - 100 115 - 115 130 - 130 145 - 14539 Use of transport vent ( 1-12 hrs) 1,000 - 1,000 1,150 - 1,150 1,300 - 1,300 1,450 - 1,45040 Use of transport vent ( 12 - 24 hrs ) 1,880 - 1,880 2,160 - 2,160 2,445 - 2,445 2,725 - 2,72541 Use of IPC machine 415 - 415 475 - 475 540 - 540 600 - 600
“STAT” requests are to be charged an additional 20% of the procedureNote: Bronchoscopy Procedures exclude reader's fee of Bronchoscopist
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL1. Chest PA 340 110 450 390 135 525 440 155 595 495 170 6652. Chest PAL (Adult) 400 135 535 460 155 615 520 175 695 580 190 7703. Chest PAL (Pedia) 400 135 535 460 155 615 520 175 695 580 190 7704. Chest AP (Portable) 700 150 850 805 200 1,005 910 250 1,160 1,015 275 1,2905. Chest ALV 225 75 300 260 85 345 295 90 385 325 100 4256. Chest Coned Down View 225 75 300 260 85 345 295 90 385 325 100 4257. Chest Lateral 300 100 400 345 115 460 390 130 520 435 145 5808. Chest Lateral Decubitus 315 105 420 360 120 480 410 135 545 455 150 6059. Ribs 400 135 535 460 155 615 520 175 695 580 190 77010. Sternum 400 135 535 460 155 615 520 175 695 580 190 77011. Clavicle 315 105 420 360 120 480 410 135 545 455 150 60512. Cardiac Series 1,200 400 1,600 1,380 460 1,840 1,560 520 2,080 1,740 570 2,31013 IVP, Plain 2,850 950 3,800 3,280 1,090 4,370 3,705 1,235 4,940 4,135 1,360 5,49514. IVP, Hypertensive 3,150 1,050 4,200 3,625 1,205 4,830 4,095 1,365 5,460 4,570 1,500 6,07015. Barium Enema 2,100 700 2,800 2,415 805 3,220 2,730 910 3,640 3,045 1,000 4,04516. Barium Swallow 1,200 400 1,600 1,380 460 1,840 1,560 520 2,080 1,740 570 2,31017. Upper GI Series 1,500 500 2,000 1,725 575 2,300 1,950 650 2,600 2,175 715 2,89018 Small Intestine Series 1,500 500 2,000 1,725 575 2,300 1,950 650 2,600 2,175 715 2,89019. Oral Cholecystogram 900 300 1,200 1,035 345 1,380 1,170 390 1,560 1,305 430 1,73520. Chole-GI Series 2,250 750 3,000 2,590 860 3,450 2,925 975 3,900 3,265 1,070 4,33521. Skull 505 165 670 580 195 775 655 220 875 730 240 97022. Mandible 550 185 735 635 210 845 715 240 955 800 265 1,06523. Mastoid 550 185 735 635 210 845 715 240 955 800 265 1,06524 Paranasal Sinuses 555 185 740 640 215 855 720 240 960 805 265 1,07025 Optic Foramina 550 185 735 635 210 845 715 240 955 800 265 1,06526. Temporal Mandible Joint (TMJ) 525 175 700 605 200 805 685 225 910 760 250 1,01027. Auditory Canals 525 175 700 605 200 805 685 225 910 760 250 1,010
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
28. Facial Bones 525 175 700 605 200 805 685 225 910 760 250 1,01029. Nasal Bones 375 125 500 430 145 575 490 160 650 545 180 72530. Orbit (Unilateral) 550 185 735 635 210 845 715 245 960 800 270 1,07031. Cervical Spine 555 185 740 640 215 855 720 240 960 805 265 1,07032. Thoracic Spine 450 150 600 520 170 690 585 195 780 655 215 87033. Lumbo-Sacral Spine 600 200 800 690 230 920 780 260 1,040 870 290 1,16034. Scoliotic Study 675 225 900 775 260 1,035 880 290 1,170 980 320 1,30035. Plain Abdomen 450 150 600 520 170 690 585 195 780 655 215 87036. Abdomen (Supine/Uprt) 600 200 800 690 230 920 780 260 1,040 870 290 1,16037. KUB 450 150 600 520 170 690 585 195 780 655 215 87038 Pelvis (AP) 375 125 500 430 145 575 490 160 650 545 180 72539. Pelvis Sacro-Coccyx 440 145 585 505 170 675 570 190 760 640 210 85040. Sacro-iliac jts., pelvis 595 195 790 685 225 910 775 255 1,030 865 280 1,14541. Scapula 375 125 500 430 145 575 490 160 650 545 180 72542. Shoulder, Unilateral 300 100 400 345 115 460 390 130 520 435 145 58043. Elbow 375 125 500 430 145 575 490 160 650 545 180 72544. Hand 375 125 500 430 145 575 490 160 650 545 180 72545. Ankle 375 125 500 430 145 575 490 160 650 545 180 72546. Foot 375 125 500 430 145 575 490 160 650 545 180 72547. Foot and Ankle 750 250 1,000 865 285 1,150 975 325 1,300 1,090 360 1,45048. Humerus 375 125 500 430 145 575 490 160 650 545 180 72549. Tibia (lower leg) 375 125 500 430 145 575 490 160 650 545 180 72550. Pelvimetry 750 250 1,000 865 285 1,150 975 325 1,300 1,090 360 1,45051. Chest Fluoroscopy 450 150 600 520 170 690 585 195 780 655 215 87052. Intra-op Cholangiogram 1,875 625 2,500 2,155 720 2,875 2,440 810 3,250 2,720 890 3,61053. Drip Infusion IVP (non-ionic) 2,850 950 3,800 3,280 1,090 4,370 3,705 1,235 4,940 4,135 1,360 5,49554. Retrograde Pyelogram 1,500 500 2,000 1,725 575 2,300 1,950 650 2,600 2,175 715 2,890
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
55. Cystourethrogram 1,500 500 2,000 1,725 575 2,300 1,950 650 2,600 2,175 715 2,89056. Hystero-Salphingography 2,000 - 2,000 2,300 - 2,300 2,600 - 2,600 2,900 2,90057. T-Tube (with ionic dye) 1,950 650 2,600 2,245 745 2,990 2,535 845 3,380 2,830 930 3,76058. PTC (with ionic dye) 2,000 - 2,000 2,300 - 2,300 2,600 - 2,600 2,900 2,90059. Venogram (w/ non-ionic)
Unilateral 5,000 - 5,000 5,750 - 5,750 6,500 - 6,500 7,250 7,250 Bilateral 7,200 - 7,200 8,280 - 8,280 9,360 - 9,360 10,440 10,440
ULTRASOUND1. Whole Abdomen 2,840 875 3,715 3,265 1,005 4,270 3,690 1,135 4,825 4,120 1,250 5,3702. Whole Abdomen & Adrenal 2,840 875 3,715 3,265 1,005 4,270 3,690 1,135 4,825 4,120 1,250 5,3703. Upper Abdomen 2,440 750 3,190 2,805 860 3,665 3,170 975 4,145 3,540 1,070 4,6104. Upper Abdomen & Adrenal 2,440 750 3,190 2,805 860 3,665 3,170 975 4,145 3,540 1,070 4,6105. Hepatobiliary Tree (HBT) 1,645 505 2,150 1,890 580 2,470 2,140 655 2,795 2,385 720 3,1056. Kidneys 1,305 400 1,705 1,500 460 1,960 1,695 520 2,215 1,890 570 2,4607. Gallbladder 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,5858. Liver 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,5859. Aorta 1,305 435 1,740 1,500 460 1,960 1,695 520 2,215 1,890 570 2,46010. Chest 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58511. Appendix 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58512. RT Lower Quadrant 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58513. KUB 1,645 505 2,150 1,890 580 2,470 2,140 655 2,795 2,385 720 3,10514. KUB, Prostate 1,645 505 2,150 1,890 580 2,470 2,140 655 2,795 2,385 720 3,10515. KUB, Pelvis 1,645 505 2,150 1,890 580 2,470 2,140 655 2,795 2,385 720 3,10516. Scrotal 1,020 315 1,335 1,175 360 1,535 1,325 410 1,735 1,480 450 1,93017. Breast 910 280 1,190 1,045 320 1,365 1,185 365 1,550 1,320 400 1,72018. Thyroid 880 270 1,150 1,010 310 1,320 1,145 350 1,495 1,275 385 1,660
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
19. Pelvis 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58520. Fetal Sex 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58521. Fetal Aging 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58522. UB/Prostate 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58523. Transrectal 1,305 400 1,705 1,500 460 1,960 1,695 520 2,215 1,890 570 2,46024. Transvaginal 1,305 400 1,705 1,500 460 1,960 1,695 520 2,215 1,890 570 2,46025. Thoracentesis 1,800 - 1,800 2,070 - 2,070 2,340 - 2,340 2,610 2,61026. Pigtain Insertion 1,800 - 1,800 2,070 - 2,070 2,340 - 2,340 2,610 2,61027. Neonatal Intracranial 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58528. Paracentesis 1,800 - 1,800 2,070 - 2,070 2,340 - 2,340 2,610 2,61029. FNAB-Liver 1,800 - 1,800 2,070 - 2,070 2,340 - 2,340 2,610 2,61030. FNAB-Thyroid 1,800 - 1,800 2,070 - 2,070 2,340 - 2,340 2,610 2,61031. FNAB-Breast 1,800 - 1,800 2,070 - 2,070 2,340 - 2,340 2,610 2,61032. Cyst Aspiration 1,800 - 1,800 2,070 - 2,070 2,340 - 2,340 2,610 2,61033. Doppler Study 1,875 625 2,500 2,155 720 2,875 2,440 810 3,250 2,720 890 3,61034. Liver with Portal Doppler Study 1,875 625 2,500 2,155 720 2,875 2,440 810 3,250 2,720 890 3,61035. Portable vein Doppler Study 1,875 625 2,500 2,155 720 2,875 2,440 810 3,250 2,720 890 3,61036. IVC Doppler Study 1,875 625 2,500 2,155 720 2,875 2,440 810 3,250 2,720 890 3,61037. Resistivity Indices, Renal 1,875 625 2,500 2,155 720 2,875 2,440 810 3,250 2,720 890 3,61038. Pelvic with Doppler 1,875 625 2,500 2,155 720 2,875 2,440 810 3,250 2,720 890 3,61039. Any One Organ 850 245 1,095 980 280 1,260 1,105 320 1,425 1,235 350 1,58540. Any Two Organ 1,305 435 1,740 1,500 500 2,000 1,690 565 2,255 1,890 620 2,51041. Any Three Organ 1,645 505 2,150 1,890 580 2,470 2,140 655 2,795 2,385 720 3,10542. Any Four Organ 2,045 630 2,675 2,350 725 3,075 2,660 820 3,480 2,965 900 3,86543. Any Five Organ 2,440 750 3,190 2,805 860 3,665 3,170 975 4,145 3,540 1,070 4,610
CT SCAN
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
Non Contrast Examinations1. Abdomen (Lower)) 4,800 1,200 6,000 5,520 1,400 6,920 6,240 1,500 7,740 6,960 1,650 8,6102. Abdomen (Upper) 4,800 1,200 6,000 5,520 1,400 6,920 6,240 1,500 7,740 6,960 1,650 8,6103. Abdomen (Whole) 9,100 2,400 11,500 10,465 2,600 13,065 11,830 2,800 14,630 13,195 3,080 16,2754. Adrenal Glands 4,800 1,200 6,000 5,520 1,400 6,920 6,240 1,500 7,740 6,960 1,650 8,6105. Cervical Spine w/o 3D 4,800 1,200 6,000 5,520 1,400 6,920 6,240 1,500 7,740 6,960 1,650 8,6106. Cervical Spine w/ 3D 7,600 1,200 8,800 8,740 1,400 10,140 9,880 1,500 11,380 11,020 1,650 12,6707. Chest 4,600 1,200 5,800 5,290 1,400 6,690 5,980 1,500 7,480 6,670 1,650 8,3208. Chest with Hi-Resolution 6,800 1,200 8,000 7,820 1,400 9,220 8,840 1,500 10,340 9,860 1,650 11,5109. Cranial 3,800 1,200 5,000 4,370 1,400 5,770 4,940 1,500 6,440 5,510 1,650 7,16010. Extremities with 3D 8,300 1,200 9,500 9,545 1,400 10,945 10,790 1,500 12,290 12,035 1,650 13,68511. Extremities without 3D 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,90012. Lumbar Spine with 3D 7,500 1,200 8,700 8,625 1,400 10,025 9,750 1,500 11,250 10,875 1,650 12,52513. Lumbar Spine without 3D 4,700 1,200 5,900 5,405 1,400 6,805 6,110 1,500 7,610 6,815 1,650 8,46514. Neck 4,500 1,200 5,700 5,175 1,400 6,575 5,850 1,500 7,350 6,525 1,650 8,17515. Orbit 4,500 1,200 5,700 5,175 1,400 6,575 5,850 1,500 7,350 6,525 1,650 8,17516. Paranasal Limited 3,100 1,200 4,300 3,565 1,400 4,965 4,030 1,500 5,530 4,495 1,650 6,14517. Paranasal Regular 4,400 1,200 5,600 5,060 1,400 6,460 5,720 1,500 7,220 6,380 1,650 8,03018. Stonogram 7,300 1,200 8,500 8,395 1,400 9,795 9,490 1,500 10,990 10,585 1,650 12,23519. Temporal Bone 4,700 1,200 5,900 5,405 1,400 6,805 6,110 1,500 7,610 6,815 1,650 8,46520. Thoracic Spine with 3D 8,400 1,200 9,600 9,660 1,400 11,060 10,920 1,500 12,420 12,180 1,650 13,83021. Thoracic Spine without 3D 5,300 1,200 6,500 6,095 1,400 7,495 6,890 1,500 8,390 7,685 1,650 9,335
Contrast Enhanced Examinations1. Abdomen (Lower)
Uniphasic 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,900 Biphasic 8,000 1,200 9,200 9,200 1,400 10,600 10,400 1,500 11,900 11,600 1,650 13,250
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
2. Abdomen (Lower) Uniphasic 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,900 Biphasic 8,000 1,200 9,200 9,200 1,400 10,600 10,400 1,500 11,900 11,600 1,650 13,250
3. Abdomen (Whole) Uniphasic 9,000 2,400 11,400 10,350 2,600 12,950 11,700 2,800 14,500 13,050 3,080 16,130 Biphasic 14,500 2,600 17,100 16,675 2,800 19,475 18,850 3,000 21,850 21,025 3,300 24,325
4. Adrenal Glands 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,9005. Cervical Spine 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,9006. Chest 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,9007. Chest with Hi Resolution 6,700 1,200 7,900 7,705 1,400 9,105 8,710 1,500 10,210 9,715 1,650 11,3658. Cranial 4,000 1,200 5,200 4,600 1,400 6,000 5,200 1,500 6,700 5,800 1,650 7,4509. Extremities 5,500 1,200 6,700 6,325 1,400 7,725 7,150 1,500 8,650 7,975 1,650 9,62510. Lumbar Spine 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,90011. Neck 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,90012. Orbit 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,90013. Paranasal Sinuses 4,500 1,200 5,700 5,175 1,400 6,575 5,850 1,500 7,350 6,525 1,650 8,17514. Temporal Bone 5,000 1,200 6,200 5,750 1,400 7,150 6,500 1,500 8,000 7,250 1,650 8,90015. Thoracic Spine 5,500 1,200 6,700 6,325 1,400 7,725 7,150 1,500 8,650 7,975 1,650 9,625
NOTE: Syringe and contrast not included "STAT" request will be charged additional 20% of the procedure.
Non Contrast MRI
1. Head/Brain 6,600 1,200 7,800 7,590 1,400 8,990 8,580 1,400 9,980 9,570 1,540 11,1102. Orbit 7,100 1,200 8,300 8,165 1,400 9,565 9,230 1,400 10,630 10,295 1,540 11,8353. Sella 7,100 1,200 8,300 8,165 1,400 9,565 9,230 1,400 10,630 10,295 1,540 11,8354. International Acopustic Canal 7,100 1,200 8,300 8,165 1,400 9,565 9,230 1,400 10,630 10,295 1,540 11,835
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
5. Brain Seizure 7,100 1,200 8,300 8,165 1,400 9,565 9,230 1,400 10,630 10,295 1,540 11,8356. Neck/Nasopharynx 7,100 1,200 8,300 8,165 1,400 9,565 9,230 1,400 10,630 10,295 1,540 11,8357. Chest 7,500 1,200 8,700 8,625 1,400 10,025 9,750 1,400 11,150 10,875 1,540 12,4158. Mammogram 7,500 2,400 9,900 8,625 2,600 11,225 9,750 2,600 12,350 10,875 2,860 13,7359. Upper Abdomen 7,500 1,200 8,700 8,625 1,400 10,025 9,750 1,400 11,150 10,875 1,540 12,41510. Lower Abdomen/Pelvis 7,500 1,200 8,700 8,625 1,400 10,025 9,750 1,400 11,150 10,875 1,540 12,41511. Whole Abdomen 11,500 2,400 13,900 13,225 2,600 15,825 14,950 2,600 17,550 16,675 2,860 19,53512. Adrenal Glands 7,500 1,200 8,700 8,625 1,400 10,025 9,750 1,400 11,150 10,875 1,540 12,41513. Cervical Spine 6,600 1,200 7,800 7,590 1,400 8,990 8,580 1,400 9,980 9,570 1,540 11,11014. Thoracic Spine 6,600 1,200 7,800 7,590 1,400 8,990 8,580 1,400 9,980 9,570 1,540 11,11015. Lumbar Spine 6,600 1,200 7,800 7,590 1,400 8,990 8,580 1,400 9,980 9,570 1,540 11,11016. Extremities 6,600 1,200 7,800 7,590 1,400 8,990 8,580 1,400 9,980 9,570 1,540 11,11017. Sacrum or Coccyx 6,600 1,200 7,800 7,590 1,400 8,990 8,580 1,400 9,980 9,570 1,540 11,11018. Hip joints/Pelvic Bones 7,500 1,200 8,700 8,625 1,400 10,025 9,750 1,400 11,150 10,875 1,540 12,415
Non Contrast MRA
1. Head and Neck 6,600 2,400 9,000 7,590 2,600 10,190 8,580 2,600 11,180 9,570 2,860 12,4302. Brain DWI Only 3,000 1,200 4,200 3,450 1,400 4,850 3,900 1,400 5,300 4,350 1,540 5,8903. MRI and MRA Brain Package 6,600 1,200 7,800 7,590 1,400 8,990 8,580 1,400 9,980 9,570 1,540 11,1104. MRI Brain and MRA Neck Package 7,500 1,200 8,700 8,625 1,400 10,025 9,750 1,400 11,150 10,875 1,540 12,4155. MRI & MRA Brain and MRA Neck
Package 9,000 2,400 11,400 10,350 2,600 12,950 11,700 2,600 14,300 13,050 2,860 15,910
Contrast Enhanced MRI
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
1. Head/Brain 8,500 1,200 9,700 9,775 1,400 11,175 11,050 1,400 12,450 12,325 1,540 13,8652. Orbit 9,000 1,200 10,200 10,350 1,400 11,750 11,700 1,400 13,100 13,050 1,540 14,5903. Sella 9,000 1,200 10,200 10,350 1,400 11,750 11,700 1,400 13,100 13,050 1,540 14,5904. International Acopustic Canal 9,000 1,200 10,200 10,350 1,400 11,750 11,700 1,400 13,100 13,050 1,540 14,5905. Brain Seizure 9,000 1,200 10,200 10,350 1,400 11,750 11,700 1,400 13,100 13,050 1,540 14,5906. Neck/Nasopharynx 9,000 1,200 10,200 10,350 1,400 11,750 11,700 1,400 13,100 13,050 1,540 14,5907. Chest 10,000 1,200 11,200 11,500 1,400 12,900 13,000 1,400 14,400 14,500 1,540 16,0408. Mammogram 10,000 2,400 12,400 11,500 2,600 14,100 13,000 2,600 15,600 14,500 2,860 17,3609. Upper Abdomen 10,000 1,200 11,200 11,500 1,400 12,900 13,000 1,400 14,400 14,500 1,540 16,04010. Lower Abdomen/Pelvis 10,000 1,200 11,200 11,500 1,400 12,900 13,000 1,400 14,400 14,500 1,540 16,04011. Whole Abdomen 15,000 2,400 17,400 17,250 2,600 19,850 19,500 2,600 22,100 21,750 2,860 24,61012. Adrenal Glands 10,000 1,200 11,200 11,500 1,400 12,900 13,000 1,400 14,400 14,500 1,540 16,04013. Cervical Spine 8,500 1,200 9,700 9,775 1,400 11,175 11,050 1,400 12,450 12,325 1,540 13,86514. Thoracic Spine 8,500 1,200 9,700 9,775 1,400 11,175 11,050 1,400 12,450 12,325 1,540 13,86515. Lumbar Spine 8,500 1,200 9,700 9,775 1,400 11,175 11,050 1,400 12,450 12,325 1,540 13,86516. Extremities 8,500 1,200 9,700 9,775 1,400 11,175 11,050 1,400 12,450 12,325 1,540 13,86517. Brain Metastatic Work Up 10,500 1,200 11,700 12,075 1,400 13,475 13,650 1,400 15,050 15,225 1,540 16,76518. Sacrum or Coccyx 8,500 1,200 9,700 9,775 1,400 11,175 11,050 1,400 12,450 12,325 1,540 13,86519. Hip joints/Pelvic Bones 9,000 1,200 10,200 10,350 1,400 11,750 11,700 1,400 13,100 13,050 1,540 14,59020. MRI and MRA Brain 8,500 1,200 9,700 9,775 1,400 11,175 11,050 1,400 12,450 12,325 1,540 13,86521. MRI Brain and MRA Neck Package 9,500 1,200 10,700 10,925 1,400 12,325 12,350 1,400 13,750 13,775 1,540 15,31522. MRI & MRA Brain and MRA Neck 12,500 2,400 14,900 14,375 2,600 16,975 16,250 2,600 18,850 18,125 2,860 20,985
MR Examinations-Special Procedures
DIAGNOSTIC RADIOLOGY Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and Pay
Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/ NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICUPatients in Suite Rooms
MR Spectroscopy
1. MR Spectroscopy Package With IV Contrast 14,500 4,000 18,500 16,675 4,200 20,875 18,850 4,200 23,050 21,025 4,620 25,645
2. Liver with Resovist 20,000 2,400 22,400 23,000 2,600 25,600 26,000 2,600 28,600 29,000 2,860 31,8603. Liver with Resovist and
Gadolinium 25,000 2,400 27,400 28,750 2,600 31,350 32,500 2,600 35,100 36,250 2,860 39,110
MRA with Contrast
1. Thoracic 14,000 3,500 17,500 16,100 3,700 19,800 18,200 3,700 21,900 20,300 4,070 24,3702. Abdominal 14,000 3,500 17,500 16,100 3,700 19,800 18,200 3,700 21,900 20,300 4,070 24,3703. Renal Arteries 14,000 3,500 17,500 16,100 3,700 19,800 18,200 3,700 21,900 20,300 4,070 24,3704. Peripheral 17,000 3,500 20,500 19,550 3,700 23,250 22,100 3,700 25,800 24,650 4,070 28,7205. Abdominal Aorta & Peripheral 25,000 7,000 32,000 28,750 7,200 35,950 32,500 7,200 39,700 36,250 7,920 44,170
OPD, Emergency Semi-Private Rooms Private Rooms/Room (ER), Including Semi-Private Private Rooms in
PROCEDURE Service and Rooms in SICU/MICU/CCU/ SICU/MICU/CCU/PICU/ Suite RoomsPay Wards PICU/NICU/Isolation Rooms
CT SCANCARDIOVASCULAR PROCEDURES
1. 4 Vessels CT Angiogram 6,000 6,900 7,800 8,7002. Abdominal CT Angiogram 6,500 7,475 8,450 9,4253. Brain Perfusion 5,000 5,750 6,500 7,2504. Calcium Scoring 3,500 4,025 4,550 5,0755. Cardiac CT Angiogram 7,000 8,050 9,100 10,1506. Carotid CT Angiogram 6,500 7,475 8,450 9,4257. Coronary CT Angiogram 7,000 8,050 9,100 10,1508. Coronary CTA w/ calcium score 8,000 9,200 10,400 11,6009. Lower Peripheral CT Angiogram 10,000 11,500 13,000 14,50010. Mesenteric CT Angiogram 6,500 7,475 8,450 9,42511. Pulmonary CT Angiogram 6,500 7,475 8,450 9,42512. Pulmonary CTA w/ Venogram 11,000 12,650 14,300 15,95013. Renal CT Angiogram 6,500 7,475 8,450 9,42514. Thoracic CT Angiogram 6,500 7,475 8,450 9,42515. Thoraco-Abdominal CT Angiogram 10,000 11,500 13,000 14,50016. Upper Peripheral Angiogram 6,500 7,475 8,450 9,425
Note: Syringe and contrast not included. Professional Fee shall be charged separately.
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES-August 1, 2014
OPD, Emergency Semi-Private Rooms Private Rooms/ Room (ER), Including Semi-Private Private Rooms in
PROCEDURE Service and Rooms in SICU/MICU/CCU/ SICU/MICU/CCU/PICU/ Suite Rooms Pay Wards PICU/NICU/Isolation Rooms NICU/Isolation Rooms
CV Lab and Interventional Procedures
1. Coronary Angiogram 9,600 11,040 12,480 13,9202. Hemodynamic Study 8,100 9,315 10,530 11,7453. T.C.T. 11,875 13,655 15,440 17,2204. PTMC 8,100 9,315 10,530 11,7455. PMBV 8,100 9,315 10,530 11,7456. BAS 8,100 9,315 10,530 11,7457. TPI 3,125 3,595 4,065 4,5308. Swan Ganz Insertion 3,125 3,595 4,065 4,5309. IABI 3,125 3,595 4,065 4,530
10. IVC Filter Insertion 3,125 3,595 4,065 4,53011. Plain Fluroscopy 3,125 3,595 4,065 4,53012. PDA Closure 12,150 13,975 15,795 17,62013. Coro with H.S. 12,150 13,975 15,795 17,62014. Coro with Renal Angio 13,075 15,035 17,000 18,96015. Coro with Graft Angio 13,075 15,035 17,000 18,96016. Aotogam 6,940 7,980 9,020 10,06517. Femoral 6,940 7,980 9,020 10,06518. Carotid 6,940 7,980 9,020 10,06519. Cerebral 6,940 7,980 9,020 10,06520. Mesenteric 6,940 7,980 9,020 10,065
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES-August 1, 2014
OPD, Emergency Semi-Private Rooms Private Rooms/ Room (ER), Including Semi-Private Private Rooms in
PROCEDURE Service and Rooms in SICU/MICU/CCU/ SICU/MICU/CCU/PICU/ Suite Rooms Pay Wards PICU/NICU/Isolation Rooms NICU/Isolation Rooms
PHILIPPINE HEART CENTER RADIOLOGICAL SCIENCES DIVISION
RATES-August 1, 2014
21. Renal 6,940 7,980 9,020 10,06522. Subclavian 6,940 7,980 9,020 10,06523. Renal Angioplasty 8,190 9,420 10,645 11,87524. Carotid Angioplasty 8,190 9,420 10,645 11,87525. Peripheral Angioplasty 8,190 9,420 10,645 11,87526. TACE 6,940 7,980 9,020 10,06527. Pulmonary Angiogram 6,940 7,980 9,020 10,06528. Pulmonary Embolization 8,190 9,420 10,645 11,87529. Arterial Embolization 8,190 9,420 10,645 11,87530. PTBD (for the first hour) 3,125 3,595 4,065 4,530
(every succeeding hr.) 1,000 1,150 1,300 1,45031. Cerebral Coiling 12,500 14,375 16,250 18,12532. Bronchial Embolization 8,190 9,420 10,645 11,875
1. HEMODIALYSIS (Out Patient) New Dialyzer P 4,500 Reprocessed Dialyzer 3,300
2. HEMODIALYSIS (In Patient) 2.1 Bedside-ICU (single use dialyzer only) P 6,000 2.2 Unit (Basement) New Dialyzer P 5,500 Reprocessed Dialyzer 5,000
3. SLOW LOW EFFICIENT DIALYSIS (SLED) New Dialyzer P 6,000 Additional Cost/hour (beyond 4 hours) 1,500
4. CONTINUOUS RENAL REPLACEMENT THERAPY (CRRT) P 800/hour
An additional 20% of the cost shall be charged on the following cases; 1. Hemodialysis and SLED Procedures done on Sundays and Holidays. 2. Unscheduled dialysis for patients from ER who are not yet admitted 3. Expendables will be charged based on the new charging rates.
PHILIPPINE HEART CENTERRENAL AND METABOLIC DIVISION
RATES – August 1, 2014
PROCEDURE Out PatientEmergency Room (ER) Service
and Paywards Semi-Private, Private Suite Rooms
SICU/MICU/CCU/PICU/NICU Isolation Rooms
1. With Cardio-Pulmonary Bypass 18,300 21,045 23,790 26,535(6 hours)
2. Without Cardio-Pulmonary Bypass 16,100 18,515 20,930 23,345(5 hours)
3. Thoracic & Peripheral Vascular Surgery 14,000 16,100 18,200 20,300(4 hours)
4. General Surgery & Allied Specialties 7,700 8,855 10,010 11,165(3 hours)
5. Miscellaneous (2 hours) 6,500 7,475 8,450 9,425
OR Extension Rate1. Open Heart – per hour in excess of six (6) hours 2,0002. Closed Heart – per hour in excess of five (5) hours 2,0003. Thoracic & Vascular Surgery – per hour in excess of four (4) hours 2,0004. General Surgery – per hour in excess of three (3) hours 1,300
Emergency procedures shall be charged an additional 20% of the OR fee.Expendables used shall be charged accordingly depending on room accommodation.Handling Fee-15% of acquisition cost but not to exceed P50,000.00
PHILIPPINE HEART CENTER OPERATING ROOM
RATES – August 1, 2014
PROCEDUREPatients in OPD,
Emergency Room (ER), Service and Pay Wards
Patients in Semi-Private Rooms including Semi-Private Rooms in
SICU/MICU/CCU/PICU/NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in SICU/MICU/CCU/ PICU
Patients in Suite Rooms
1. GASTROSCOPY With Sedation 6,500 7,475 8,450 9,425 Without Sedation 6,300 7,245 8,190 9,135
2. COLONOSCOPY With Sedation 10,700 12,305 13,910 15,515 Without Sedation 6,350 7,300 8,255 9,208
3. BRONCHOSCOPY With Sedation 12,850 14,800 16,705 18,635 Without Sedation 6,300 7,245 8,190 9,135
USE OF SPECIAL EQUIPMENT (FIXED RATE)1 Analyzer (Pulse Gen) 1,0202 C-Arm (X-ray Machine) – for the first 3 hours) 8,150
Additional 2 hours 1,4103 Cautery Machine 6104 Cytoscope and TURP 2,3755 Defibrillator Machine 8156 Light Source 1,100
Luxter 2,8007 Octopus 13,4208 Pavaloro 1359 Sarn Saw 650
10 Suction Machine – Atmos & filter 1,300 - Medella 750 - Hospivac 750
SPECIAL INSTRUMENTS (FIXED RATE)1 CABG Kit 2,1002 EVH Kit – new (consignment fee) 33,900
- reprocessed 16,9503. CO2 for EVH 8504. EVH Machine-(Aesculap Machine Endoscopic Vein Harvesting) 6,780
(Aesculap Machine Laparoscopic Cholysystectomy)-Lap 13,560 (Aesculap Machine Video Assisted Thoracic Surgery)-V 13,560
5. Liga Clip Aplic. For Lap Chole 2,7106. Pedia Kit 2,1007. Vavulotome (La Maitre) 8,815
USE OF SPECIAL EQUIPMENT ( FIXED RATE )1 Analyzer (Pulse Gen) 1,0202 C-Arm (X-ray Machine) – 8,150
Additional 2 hours 1,4103 Cautery Machine 6104 Cytoscope and TURP 2,3755 Defibrillator Machine 8156 Light Source 1,100
Luxter 2,8007 Octopus 13,4208 Pavaloro 1359 Sarn Saw 650
10 Suction Machine – Atmos 1,300 - Medell 750
Procedure Semi-Private Private Suite
Abdominal Aortic Aneurysmectomy 14,000.00 16,100.00 18,200.00Abdomino-Perineal Resection 8,350.00 9,600.00 10,900.00AICD Procedure 6,500.00 7,475.00 8,450.00Amputation of Major Limb (e.g. Arm, Leg) 7,700.00 8,855.00 10,010.00Anomalous Left Coronary Artery from Pulmonary Artery (ALCAPA) 18,300.00 21,045.00 23,790.00Any Other Diagnostic Procedures Under Ga Or Regional Anesthesia 3,830.00 4,550.00 5,280.00Any Other Diagnostic Procedures Under Local Anesthesia 3,830.00 4,550.00 5,280.00Any Other Major Closed Heart Surgery 7,100.00 8,165.00 9,230.00Any other major surgery under gen. or regional anes. 6,675.00 7,675.00 8,700.00Any Other Major Thoracic or Peripheral Vascular Surgery Requiring General Or Regional Anesthesia 6,900.00 7,935.00 8,970.00Any Other Medium Close Heart Surgery Requiring General Anesthesia 6,900.00 7,935.00 8,970.00Any Other Medium Surgery Under General or Regional Anesthesia 6,675.00 7,675.00 8,700.00Any Other Medium Thoracic or Peripheral Vascular Surgery Requiring General Or Regional Anesthesia 6,900.00 7,935.00 8,970.00Any Other Minor Closed Heart Surgery Requiring General Anesthesia 6,675.00 7,675.00 8,700.00Any Other Minor or Miscellaneous Procedure Under Local Anesthesia 3,830.00 4,550.00 5,280.00Any other minor surgery under general or regional anesthesia 3,830.00 4,550.00 5,280.00Any other minor thoracic or peripheral vascular surgery requiring general anesthesia 3,830.00 4,550.00 5,280.00Any other minor thoracic or peripheral vascular surgery requiring local anesthesia 3,830.00 4,550.00 5,280.00Any Other Surgery Requiring Cardio-Pulmonary Bypass (Open Heart Surgery) 7,600.00 8,740.00 9,850.00Aortic Valve Repair 18,300.00 21,045.00 23,790.00Aortic Valve Replacement (AVR) 18,300.00 21,045.00 23,790.00Aorto-Iliac or Femoral-Popliteal Bypass 14,000.00 16,100.00 18,200.00Appendectomy1 7,705.00 8,860.00 10,015.00Arterial Switch Operation (ASO) 18,300.00 21,045.00 23,790.00Atrial Septal Defect (ASD) Closure 18,300.00 21,045.00 23,700.00AVR (Aortic Valve Replacement) 9,500.00 10,950.00 12,350.00Bentall's Procedure 18,300.00 21,045.00 23,790.00Biocor Tissue Valve Mitral Size 25 85,000.00Blalock Taussig Shunt (BTS) 16,100.00 18,515.00 20,930.00Breast Mass Excision 6,500.00 7,475.00 8,450.00Bronchoscopy - Local Anesthesia 6,500.00 7,475.00 8,450.00
PHILIPPINE HEART CENTEROPERATING ROOM FEES
Procedure Semi-Private Private Suite
PHILIPPINE HEART CENTEROPERATING ROOM FEES
Bronchoscopy - under GA or Regional Anesthesia 6,500.00 7,475.00 8,450.00Bronchoscopy with Sedation 12,850.00 14,800.00 16,705.00Bronchoscopy without Sedation 6,300.00 7,245.00 8,190.00Burr Hole 7,700.00 8,855.00 10,010.00Cataract Extraction 7,700.00 8,855.00 10,010.00Cataract Extraction, Bilateral 6,695.00 7,695.00 8,720.00Cataract Extraction, Unilateral 6,695.00 7,695.00 8,720.00Cholecystectomy1 7,715.00 8,870.00 10,025.00Circumcision 6,500.00 7,475.00 8,450.00Clipping of Aneuysm 8,350.00 9,600.00 10,900.00Close Mitral Commissurotomy 7,100.00 8,165.00 9,230.00Close Tube Thoracostomy & Drainage - General Anesthesia 6,500.00 7,475.00 8,450.00Close Tube Thoracostomy & Drainage - Local Anesthesia 6,500.00 7,475.00 8,450.00Closed Heart - per hour in excess of six (5) hours 2,000.00Closed Thoracostomy & Drainage - Local Anesthesia 3,830.00 4,550.00 5,280.00Colonoscopy with Sedation 10,700.00 12,305.00 13,910.00Colonoscopy without Sedation 6,350.00 7,300.00 8,255.00Colonoscopy/Proctoscopy - Ga Or Regional Anesthesia 6,500.00 7,475.00 8,450.00Colonoscopy/Proctoscopy - Local Anesthesia 6,500.00 7,475.00 8,450.00Coronary Artery Bypass Grafting (CABG) 18,300.00 21,045.00 23,790.00Craniotomy 8,350.00 9,600.00 10,900.00Creation of Arterio-Venous Fistula (AVF) 6,500.00 7,475.00 8,450.00Creation of Arterio-Venous Shunt 6,500.00 7,475.00 8,450.00Creation of AV Fistula (under Local Anesthesia) 3,830.00 4,550.00 5,280.00Cystopanendoscopy And Retrograde Pyelography - Ga or Regional Anesthesia 7,700.00 8,855.00 10,010.00Cystopanendoscopy and/or Retrograde Pyelography - Local Anesthesia 7,700.00 8,855.00 10,010.00Cystoscopy - Local Anesthesia 7,702.00 8,857.00 10,012.00Cystoscopy/Cystopanendoscopy - Ga Or Regional Anesthesia 7,702.00 8,857.00 10,012.00Dacryocystectomy 6,675.00 7,675.00 8,700.00Debridement 7,700.00 8,855.00 10,010.00Debridement And Removal / Rewiring Of Sternum 6,900.00 7,935.00 8,970.00
Procedure Semi-Private Private Suite
PHILIPPINE HEART CENTEROPERATING ROOM FEES
Decortication 6,900.00 7,935.00 8,970.00Dilatation & Curettage (Cervix) [D & C] 7,700.00 8,855.00 10,010.00Disarticulation (e.g. finger or toe) - Local Anesthesia 7,700.00 8,855.00 10,010.00Disarticulation (e.g. finger or toe) - under Gen. or Regional Anes. 7,700.00 8,855.00 10,010.00Double Outlet Right Ventricle (DORV) 18,300.00 21,045.00 23,790.00Double Valve Replacement 9,500.00 10,950.00 12,350.00Ebstein Procedure 18,300.00 21,045.00 23,790.00Embolectomy 6,500.00 7,475.00 8,450.00Embolectomy, e.g., Femoral 6,900.00 7,935.00 8,970.00Emergency Fee - General Surgery & Allied Specialties (MINOR under Gen. or Regional Anes.) 1,400.00 1,400.00 1,400.00Emergency Fee - General Surgery & Allied Specialties (MAJOR under Gen. or Regional Anes.) 1,750.00Emergency Fee - General Surgery & Allied Specialties (MEDIUM under Gen. or Regional Anes.) 1,500.00Emergency Fee - General Surgery & Allied Specialties (MINOR & MISC. under Local Anes.) 1,200.00Emergency Fee - Thoracic & Peripheral Vascular Surgery (MAJOR) 1,750.00Emergency Fee - Thoracic & Peripheral Vascular Surgery (MEDIUM) 1,500.00Emergency Fee - Thoracic & Peripheral Vascular Surgery (MINOR under Gen. Anes.) 1,400.00 1,400.00Emergency Fee - Thoracic & Peripheral Vascular Surgery (MINOR under Local Anes.) 1,200.00Emergency Fee - W/O Cardio-Pulmonary Bypass ( Major - Gen. Anes ) 1,750.00Emergency Fee - W/O Cardio-Pulmonary Bypass (Medium - Gen. Anes.) 1,500.00Emergency Fee - W/O Cardio-Pulmonary Bypass (Minor - Gen. Anes.) 1,400.00Emergency Fee - With Cardio-Pulmonary Bypass ( GA ) 2,390.26 2,575.26 2,762.26Emergency Fee on Holidays and Sundays 13,330.00Endarterectomy, e.g., Carotid 14,000.00 16,100.00 18,200.00Epidural Catheter Insertion 2,500.00Evacuation Hematoma 7,700.00 8,855.00 10,010.00Excision Biopsy Mass 6,500.00 7,475.00 8,450.00Excision of Mediastinal Tumor 14,000.00 16,100.00 18,200.00Excision of Soft Tissue Tumor(s) Mass(es) or Structure(s) - Local Anesthesia 3,830.00 4,550.00 5,280.00Excision of Soft Tissue Tumor/Mass 4,800.00Exploratory Laparotomy 7,700.00 8,855.00 10,010.00Exploratory Thoracotomy 7,700.00 8,855.00 10,010.00
Procedure Semi-Private Private Suite
PHILIPPINE HEART CENTEROPERATING ROOM FEES
Fontan Procedure 18,300.00 21,045.00 23,790.00Gastric Resection (Gastrectomy) 8,350.00 9,600.00 10,900.00Gastroscopy with Sedation 6,500.00 7,475.00 8,450.00Gastroscopy without Sedation 6,300.00 7,245.00 8,190.00Gastroscopy/Other Ugi Endoscopic Procedures - Ga Or Regional Anesthesia 6,504.00 7,479.00 8,454.00Gastroscopy/Other Ugi Endoscopic Procedures - Local Anesthesia 6,504.00 7,479.00 8,454.00General Surgery - per hour in excess of three (3) hours 1,300.00General Surgery and Allied Specialties (3 hours) 7,700.00 8,855.00 10,010.00General Surgery and Allied Specialties (4 hours) 8,350.00 9,600.00 10,900.00Glenn Shunt 16,100.00 18,515.00 20,930.00Glenn Shunt with Cardio Pulmonary Bypass 18,300.00 21,045.00 23,790.00Hemorrhoidectomy 7,700.00 8,855.00 10,010.00Herniorraphy 7,700.00 8,855.00 10,010.00Herniorraphy (Unilateral) 6,675.00 7,675.00 8,700.00Hybrid - Ablation - OR 10,830.00Hybrid - OR 30,000.00Hysterectomy (incl. TAHBSO) 7,700.00 8,855.00 10,010.00Incision and Drainage 7,700.00 8,855.00 10,010.00Insertion of IAB Catheter - General Anesthesia 3,830.00 4,550.00 5,280.00Insertion of IAB Catheter - Local anesthesia 3,830.00 4,550.00 5,280.00Interrupted Aortic Arch 18,300.00 21,045.00 23,790.00Jatene 18,300.00 21,045.00 23,790.00Kidney Transplant (Recipient) 6,675.00 7,675.00 8,700.00Laminectomy 7,700.00 8,855.00 10,010.00Lobectomy or Pneumonectomy 14,000.00 16,100.00 18,200.00Lymphnode Excision Biopsy - Open (e.g. cervical, scalene) - Local Anesthesia 3,830.00 4,550.00 5,280.00Lymphnode Excision Biopsy-Open (e.g. cervical, scalene) - under Gen. or Regional Anes. 3,830.00 4,550.00 5,280.00Major bone surgery (e.g. hip repair/replacement) 7,700.00 8,855.00 10,010.00Mastectomy (Simple Or Radical) 7,718.00 8,873.00 10,028.00Mediastinal Exploration (RE-OP) 7,700.00 8,855.00 10,010.00Minor Bone Surgery Including Closed Fracture Reduction & Casting - Local Anesthesia 3,830.00 4,550.00 5,280.00
Procedure Semi-Private Private Suite
PHILIPPINE HEART CENTEROPERATING ROOM FEES
Minor bone surgery including closed fracture reduction and casting - Gen. or Regional Anes. 3,830.00 4,550.00 5,280.00Miscellaneous (2 hours) 6,500.00 7,475.00 8,450.00Mitral and Aortic Valve Replacement (MAVR) 18,300.00 23,790.00Mitral Valve Repair 18,300.00 21,045.00 23,790.00Mitral Valve Replacement (MVR) 18,300.00 21,045.00 23,790.00Multiple or wide excision of soft tissue tumor/structure/mass 6,675.00 7,675.00 8,700.00Nephrectomy 7,720.00 8,875.00 10,030.00Norwood Procedure 18,300.00 21,045.00 23,790.00Off Pump Coronary Artery Bypass (OPCAB) 18,300.00 21,045.00 23,790.00Open Heart - per hour in excess of six (6) hours 2,000.00 2,000.00 2,000.00Open Mitral Commissurotomy (OMC) 18,300.00 21,045.00 23,790.00Open Pulmonic Valvotomy (OPV) 18,300.00 21,045.00 23,790.00Open Tube Thoracostomy & Drainage 6,500.00 7,475.00 8,450.00OR Fee Ext. (Closed Heart - Thoracic & Vasculat Surgery) per hour 730.00 830.00 940.00OR Fee Ext. (General Surgery) per hour 560.00 645.00 720.00OR Fee Ext. (Open Heart) per hour 900.00 1,035.00 1,160.00OR Fee ext. (Private) per hour 1,035.00OR Fee ext. (Suite) per hour 1,160.00OR Fee on Dirty Cases (Major) 900.00 1,035.00 1,160.00OR Fee on Dirty Cases (Medium & Minor) 670.00 770.00 870.00ORIF (Open Fracture Reduction of a Major Limb) 7,700.00 8,855.00 10,010.00Parotidectomy 6,675.00 7,675.00 8,700.00Partial Anomalous Pulmonary Venous Return 18,300.00 21,045.00 23,790.00Patent Ductus Arteriosus (PDA) Closure 16,100.00 18,515.00 20,930.00Patent Ductus Arteriosus (PDA) Transection 16,100.00 18,515.00 20,930.00Patent Ductus Arteriosus (PDA) under CPB 18,300.00 21,045.00 23,790.00Patent Foramen Ovale Closure 7,600.00 8,740.00 9,850.00PDA Transection or Closure 8,900.00 10,250.00 11,600.00Pericardial Mass Biopsy 6,900.00 7,935.00 8,970.00Pericardiectomy 16,100.00 18,515.00 20,930.00Pericardiocentesis (Percutaneous) - Local Anesthesia 9,985.00 10,705.00 11,435.00
Procedure Semi-Private Private Suite
PHILIPPINE HEART CENTEROPERATING ROOM FEES
Pericardiocentesis (percutaneous) - under Gen. or Regional Anes. 3,830.00 4,550.00 5,280.00Perm Cath Repositioning 6,500.00 7,475.00 8,450.00Permanent Pacemaker Implantation 6,500.00 7,475.00 8,450.00Pleuro Pericardial Window 16,100.00 18,515.00 20,930.00Porta Cath Insertion 6,500.00 7,475.00 8,450.00Pulmonary Artery Banding 16,100.00 18,515.00 20,930.00Pulmonary Artery Banding under CPB 18,300.00 21,045.00 23,790.00Pulmonary Valvulotomy 7,600.00 8,740.00 9,850.00Pulse Generator Replacement or Removal 6,500.00 7,475.00 8,450.00Rastelli Procedure 18,300.00 21,045.00 23,790.00Release of Tracheal Stenosis - Local Anesthesia 3,830.00 4,550.00 5,280.00Release of Tracheal Stenosis - under Gen. or Regional Anes. 3,830.00 4,550.00 5,280.00Removal of foley catheter under GA 2,000.00Removal of foreign body under local 2,000.00Removal of Intra-Aortic Balloon Catheter 3,830.00 4,550.00 5,280.00Repair of AP Window 18,300.00 21,045.00 23,790.00Repair of COA 16,100.00 18,515.00 20,930.00Retrograde Pyelography - Ga or Regional Anesthesia 3,830.00 4,550.00 5,280.00Retrograde Pyelography - Local Anesthesia 3,830.00 4,550.00 5,280.00Right Atrium/Left Atrium Myxoma Excision 18,300.00 21,045.00 23,700.00Ross Procedure 18,300.00 21,045.00 23,790.00Ruptured Coronary Sinus of Valsalva (RCSOV) 18,300.00 21,045.00 23,790.00Senning's Procedure 18,300.00 21,045.00 23,790.00Sternal Rewiring 7,700.00 8,855.00 10,010.00Sternectomy 16,100.00 18,515.00 20,930.00Subclavian Aortoplasty 7,100.00 8,165.00 9,230.00Submucous Resection (Caldwell - Luc) 6,681.00 7,681.00 8,706.00Suprapubic Cystostomy 3,830.00 4,550.00 5,280.00Thoracic & Vascular Surgery - per hour in excess of four (4) hours 2,000.00Thoracic and Peripheral Vascular Surgery (4 hours) 14,000.00 16,100.00 18,200.00Thoracic and Peripheral Vascular Surgery (5 hours) 8,650.00 9,950.00 11,250.00
Procedure Semi-Private Private Suite
PHILIPPINE HEART CENTEROPERATING ROOM FEES
Thoraco-Abdominal Aneurysm Repair 18,300.00 21,045.00 23,790.00Thymectomy 16,100.00 18,515.00 20,930.00Thyroidectomy 7,700.00 8,855.00 10,010.00Tonsillectomy 7,700.00 8,855.00 10,010.00Total Anomalous Pulmonary Venous Return (TAPVR) 18,300.00 21,045.00 23,790.00Total Correction of Tetralogy of Fallot (TOF) 18,300.00 21,045.00 23,790.00Tracheostomy 7,700.00 8,855.00 10,010.00Tracheostomy - Local Anesthesia 3,830.00 4,550.00 5,280.00Tracheostomy - under Gen. or Regional Anes. 3,830.00 4,550.00 5,280.00Transthoracic Implantation of Myocardial Electrode 7,100.00 8,165.00 9,230.00Tricuspid Valve Repair 18,300.00 21,045.00 23,790.00Tube Pericardiostomy 16,100.00 18,515.00 20,930.00TURP (Transurethral Resection of the Prostate) 7,700.00 8,855.00 10,010.00Use of CO2 for lapcole (per use) 200.00VATS 14,000.00 16,100.00 18,200.00Vein Stripping 6,500.00 7,475.00 8,450.00Ventricular Septal Defect Closure (VSD) 18,300.00 21,045.00 25,790.00Ventriculo-Peritoneal Shunting 8,350.00 9,600.00 10,900.00With Cardio-Pulmonary Bypass (6 hours) 18,300.00 21,045.00 23,790.00With Cardio-Pulmonary Bypass (7 hours) 9,500.00 10,950.00 12,350.00Without Cardio-Pulmonary Bypass (5 hours) 16,100.00 18,515.00 20,930.00Without Cardio-Pulmonary Bypass (6 hours) 8,900.00 10,250.00 11,600.00Wound Exploration And Ligation of Bleeders, Including Reopening 6,900.00 7,935.00 8,970.00Wound or Burn Debridement - Local Anesthesia 3,830.00 4,550.00 5,280.00Wound or Burn Debridement - under Gen. or Regional Anes. 3,830.00 4,550.00 5,280.00
USE OF ANESTHESIA EQUIPMENT (FIXED RATE)
1 Anesthesia Machine (for the first 5 hours) P 1,800
(Ohmeda S5 Advance) 2,200
(Julian Drager) 1,600
(Saturn Evo) 1,600
Succeeding hours (Anesthesia Machine) 735/hr
2 Ambu Bag ( per use ) 680
3 Capnomac 710
4 Cardiac Monitor (Anesthesia Monitor-HP, for the first 4 hours) 2,600
Succeeding hours (Cardiac Monitor) 710/hr
5 Compressed Air Tank per pound (lb) 100
6 02 Humidifier (Portable) 100
7. 02 Humidifier (Compressed Air) 100
8. Laryngoscope ( per use ) 270
9. Oxygen Tank Standard size per pound (lb) 100
10. Oxygen Portable (D size-CIGI owned) for OR use only 255
11. Syringe Pump 215/hr.
12. Transport Monitor 2,330
13. Use of COCI with module 565
PHILIPPINE HEART CENTER
ANESTHESIA
RATES – August 1, 2014
Page 1 of 1
1. Use of Heart – Lung Machine First 4 hrs or portion thereof 10,180 11,705 13,235 14,760 Every additional hour or portion thereof 425 490 555 615
2. a.) Use of Heater/Cooler Machine First 4 hrs. Or portion thereof 3,195 3,675 4,155 4,635 Every additional hour or portion thereof 135 155 175 195b.) Use of Plastipad 675 775 880 980
3. Use of intra-Aourtic Balloon Pump First 4 hrs. Or portion thereof 14,840 17,065 19,290 21,520 Every additional hour or portion thereof 720 830 935 1,045
4. Use of Auto-Tranfusion Machine First 24 hrs. Or portion thereof 8,145 9,365 10,590 11,810 Every additional hour or portion thereof 385 445 500 560
5. Use of Sechrist Blender 765 880 995 1,110
6. Lactate Determination 1,020 1,175 1,325 1,480
7. Activated Coagulation Time Determination 315 360 410 455
8. ABG with Electrolyte, Calcium and 1,535 1,765 1,995 2,225 Hematocrit Determination
9 On-Line Blood Gas Monitoringa. Complete (H/S Cuvette, Shunt Sensor & 12,000 13,800 15,600 17,400Gas)b.Use of Shunt Sensor Only 7,000 8,050 9,100 10,150c. Use of H/S Cuvette (1/4,3/8) 6,000 6,900 7,800 8,700d. Calibrated Gas A 55 65 70 80 Calibrated Gas B 55 65 70 80
Emergency procedures shall be charged an additional 20% of the total costExpendables used shall be charged accordingly depending on room accommodation.Handling Fee-15% of acquisition cost but not to exceed P50,000.00
PHILIPPINE HEART CENTER PERFUSION SECTION
RATES – August 1, 2014
PROCEDUREPatients in OPD, Emergency Room (ER), Service and
Pay Wards
Patients in Semi-PrivateRooms including Semi-
Private Rooms in SICU/MICU/CCU/PICU/NICU Isolation Rooms
Patients in Private Rooms including Private Rooms in
SICU/MICU/CCU/ PICU
Patients in Suite Rooms
PROCEDURE SUITE ROOMS
Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL Hospital PF TOTAL
1. Carotid Duplex Scan 3,800 700 4,500 4,370 850 5,220 4,940 950 5,890 5,510 1,050 6,5602. TCD/Carotid Duplex Scan 6,600 800 7,400 7,590 900 8,490 8,580 1,000 9,580 9,570 110 9,6803. DVT Screening 1,400 300 1,700 1,610 350 1,960 1,820 400 2,220 2,030 440 2,4704. Venous Duplex Scan 4,300 700 5,000 4,945 770 5,715 5,590 880 6,470 6,235 970 7,2055. Arterial Duplex with ABI 5,500 750 6,250 6,325 1,100 7,425 7,150 1,200 8,350 7,975 1,320 9,2956. Transcrannial Duplex Scan 5,500 750 6,250 6,325 1,100 7,425 7,150 1,200 8,350 7,975 1,320 9,2957. Abdominal Aorta Duplex Scan 4,330 600 4,930 4,980 650 5,630 5,630 700 6,330 6,280 770 7,0508. Renal Duplex Scan 4,330 600 4,930 4,980 650 5,630 5,630 700 6,330 6,280 770 7,0509. Graft Surveillance 2,500 450 2,950 2,875 550 3,425 3,250 650 3,900 3,625 720 4,34510. Duplex of Mass 2,110 400 2,510 2,430 500 2,930 2,745 600 3,345 3,060 660 3,72011. Ankle/Brachial Index 1,400 100 1,500 1,610 150 1,760 1,820 150 1,970 2,030 170 2,20012. Segmental pressure 2,600 400 3,000 2,990 450 3,440 3,380 500 3,880 3,770 550 4,32013. Segmental pressure with stress 3,300 450 3,750 3,795 500 4,295 4,290 550 4,840 4,785 610 5,39514. Arterial duplex with segmental 6,600 1,000 7,600 7,590 1,100 8,690 8,580 1,200 9,780 9,570 1,320 10,89015. Arterial/venous duplex package 8,025 1,000 9,025 9,330 1,100 10,430 10,435 1,200 11,635 11,635 1,320 12,95516. Arterial duplex scan upper & lower 8,025 1,000 9,025 9,330 1,100 10,430 10,435 1,200 11,635 11,635 1,320 12,95517. Intima media thickness 525 100 625 605 150 755 685 200 885 760 220 98018. Flow Mediated Dilatation 1,050 100 1,150 1,210 150 1,360 1,365 200 1,565 1,525 220 1,74519. ABI/intima media/flow mediated 1,625 200 1,825 1,870 250 2,120 2,115 300 2,415 2,355 330 2,68520. Treatment Fee/Wound Care 400 400 460 460 520 520 580 580
Clinic Fee 150 150 175 175 195 195 220 220
PHILIPPINE HEART CENTER PERIPHERAL VASCULAR LABORATORY
RATES-August 1, 2014
OPD, Emergency Room Semi-Private Rooms Private Rooms/Private
PIU/NICU, Isolation Rooms
(ER), Service and Pay Including Semi-Private Rooms in SICU/MICU/CCU/Wards Rooms, SICU/MICU/CCU/ PICU/NICU
1. Initial Consultation fee and 4-hour stay P 600.00
2. ER Stay – Succeeding charges after the first 4 hours P 135.00/hour
3. Injection Fee 150.00
4. NGT Insertion 150.00
Expendables as used will be charged as follows:
1. Drugs and Pharmaceutical Items, Narcotics, Surgical - acquisition cost + 43% and Medical Supplies
PHILIPPINE HEART CENTER EMERGENCY ROOM
RATES – August 1, 2014
Life No. of Kms. Support Ordinary
NAME AND ADDRESS OF HOSPITAL FROM PHC Ambulance Ambulance(round trip) (FORD)
1. ABM Sison General Hospital 5.5 P 2,200.00 P 1,450.00San Miguel Avenue corner Lourdes RoadOrtigas Center, Mandaluyong City
2. Capitol Medical Center 8 2,600.00 1,750.00Scout Magbanua, Quezon City
3. Cardinal Santos Memorial Hospital 12 3,400.00 2,350.00Wilson St., San Juan, Metro Manila
4. Chinese General & Medical Hospital 14 3,800.00 2,650.00286 Blumentritt, Sta. Cruz, Manila
5. De Ocampo Memorial Hospital 15 4,000.00 2,800.002921 Nagtahan, Sta. Mesa, Manila
6. Delgado Clinic 7 2,400.00 1,600.00Kamuning Road, Quezon City
7. Delos Santos General Hospital 10 3,000.00 2,050.00201 E. Rodriguez Sr., Ave., Quezon City
8. East Avenue Medical Center - Ford 0 2,000.00 1,300.00East Avenue, Quezon City
9. Family Clinic & Hospital - Ford 13 3,600.00 2,500.001474 Ma. Clara St., Manila
10. FEU Hospital 15 4,000.00 2,800.00Morayta, Manila
11. Infant Jesus Hospital 13 3,600.00 2,500.001556 Laong Laan, Manila
12. Las Piñas Doctors Hospital 38 8,600.00 6,250.00CRM Ave., Las Pinas, Metro Manila
13. Las Piñas General Hospital 38 8,600.00 6,250.00BF Homes, Las Pinas, Metro Manila
14. Lung Center Of The Philippines - Ford 4 2,000.00 1,300.00Quezon Avenue, Quezon City
15 Makati Medical Center 18 4,600.00 3,250.002 Amorsolo St., Makati City
#16. Manila Central Univ. (MCU) Hospital 13 3,600.00 2,500.00
Samson Road, Caloocan City
17. Manila Doctors Hospital 17 4,400.00 3,100.00667 United Nations Ave., Manila
PHILIPPINE HEART CENTERAMBULANCE FEES AND HELIPAD LANDING FEE
RATES - August 1, 2014
Life No. of Kms. Support Ordinary
NAME AND ADDRESS OF HOSPITAL FROM PHC Ambulance Ambulance(round trip) (FORD)
PHILIPPINE HEART CENTERAMBULANCE FEES AND HELIPAD LANDING FEE
RATES - August 1, 2014
18. Manila Domestic Airport 24 5,800.00 4,150.00Pasay City
19. Manila Sanitarium & Hospital 20 5,000.00 3,550.001976 Donada St., Pasay City
20. Marianne Doctors Hospital 16 4,200.00 2,950.00932 United Nations Ave., Manila
21. Martinez Memorial Hospital - Ford 15.5 4,200.00 2,950.00198 A. Mabini, Caloocan City
22. Mary Johnston Hospital - Ford 20 5,000.00 3,550.001221 Juan Nolasco, Tondo, Manila
23. Medical Center Manila 20 5,000.00 3,550.001122 Gen. Luna, Manila
24. Medical City General Hospital 11.5 3,400.00 2,350.00Mandaluyong City
25. Metropolitan Hospital 15 4,000.00 2,800.001357 G. Masangkay, Manila
26. Mt. Banawe General Hospital 10.5 3,200.00 2,200.0062 Quezon Avenue, Quezon City
27. National Children's Medical Center 13 3,600.00 2,500.0011 Banawe, Quezon City
28. National Kidney Institute 2 2,000.00 1,300.00East Avenue Medical Center
29. Ninoy Aquino International Airport 26.5 6,400.00 4,600.00Pasay City
30. Our Lady of Fatima Hospital 19 4,800.00 3,400.00120 McArthur Highway, Valenzuela City
31. Our Lady of Lourdes Hospital 14 3,800.00 2,650.0046 P. Sanchez, Manila
#
32. Parañaque Community Hospital 29 6,800.00 4,900.00Old Paranaque, Municipal Bldg.
33. Parañaque Medical Center 30 7,000.00 5,050.00Dr. A. Santos Ave., Paranaque, Metro Manila
34. Perpetual Help Medical Center 39 8,800.00 6,400.00
Life No. of Kms. Support Ordinary
NAME AND ADDRESS OF HOSPITAL FROM PHC Ambulance Ambulance(round trip) (FORD)
PHILIPPINE HEART CENTERAMBULANCE FEES AND HELIPAD LANDING FEE
RATES - August 1, 2014
Pamplona, Las Pinas, Metro Manila
35. Philippine Children's Medical Center 4 2,000.00 1,300.00Quezon Avenue, Quezon City
36. Philippine General Hospital 16.5 4,400.00 3,100.00Taft Avenue, Manila
37. Polymedic General Hospital 12.5 3,600.00 2,500.00163 EDSA, Mandaluyong City
38. Quezon City Medical Center - Ford 8 2,600.00 1,750.00960 Aurora Blvd., Quezon City
39. Quezon Institute 6 2,200.00 1,450.00E. Jacinto Street, Quezon City
40. Quirino Memorial General Hospital 10.5 3,200.00 2,200.00Katipunan Road, Quezon City
41. San Juan De Dios Hospital 21 5,200.00 3,700.002772 Roxas Blvd., Pasay City
42. Singian Memorial Hospital 7 2,400.00 1,600.00Nicanor Padilla St., Manila
43. St. Jude Medical & Gen. Hospital 13.5 3,800.00 2,650.00Dimasalang, Manila
44. St. Luke's Medical Center 9.5 3,000.00 2,050.00279 E. Rodriguez Sr., Avenue, Quezon City
45. Sta. Teresita General Hospital 11 3,200.00 2,200.00100 D. Tuazon Avenue, Quezon City
46. Trinity General Hospital 15 4,000.00 2,800.002732 New Panaderos St., Sta. Ana, Manila
47. Trinity Women's and Child Center the Birth Place 15 4,000.00 2,800.002732 new Panaderos St., Sta. Ana, Manila
#48. UERM Memorial Medical Center 12 3,400.00 2,350.00
Aurora Blvd., Quezon City
49. United Doctors Medical Center 11 3,200.00 2,200.006N Ramirez St., Quezon City
50. UST Hospital 13 3,600.00 2,500.00Espana, Manila
____________________________For other places not listed above, basis will be the speedometer reading of ambulance. Round trip calculation
Life No. of Kms. Support Ordinary
NAME AND ADDRESS OF HOSPITAL FROM PHC Ambulance Ambulance(round trip) (FORD)
PHILIPPINE HEART CENTERAMBULANCE FEES AND HELIPAD LANDING FEE
RATES - August 1, 2014
should be used in the computation.
Ambulance Fee for the first 5 kms. or portion thereof 2,000.00 1,300.00Ambulance Fee for every Additional km. thereafter 200.00 150.00Ambulance Fee Waiting Time - For Every 10 Min. Or Portion Thereof 70 70.00
Code Blue Charges* 1,035.00 1,190.00
Expendables are to be charged as used in accordance with standard policies.
Other ChargesHelipad Landing Fee for government hospitals 1,250.00
Helipad Landing Fee for others 2,500.00